Individual
JEANNE T HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7 CHELAN CT, DURHAM, NC 27713-8823
(919) 966-4996
(919) 842-5595
Mailing address
7 CHELAN CT, DURHAM, NC 27713-8823
(919) 966-4996
(919) 842-5595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1795
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000341
—
NC
Enumeration date
06/06/2006
Last updated
08/08/2018
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