Individual
MS. CECILE TERESA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3716 OLIVE AVE, LONG BEACH, CA 90807-4124
(562) 869-1988
Mailing address
3716 OLIVE AVE, LONG BEACH, CA 90807-4124
(562) 869-1988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP0041430
—
CA
Enumeration date
02/17/2007
Last updated
07/08/2007
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