Individual
DR. SANTIAGO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
112 N BROAD ST, 8TH FL, PHILADELPHIA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
106 E BROWNING RD, COLLINGSWOOD, NJ 08108-1108
(856) 854-1855
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SC00847
NJ
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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