Individual
MICHELLE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2709 HEATH AVE, 4B, BRONX, NY 10463-7537
(718) 601-7214
Mailing address
2709 HEATH AVE, 4B, BRONX, NY 10463-7537
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1318564
CERTIFICATION
NY
Enumeration date
06/05/2012
Last updated
06/05/2012
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