Individual
DR. ANGIE FABIOLA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1009 FISK CT, LEXINGTON, KY 40511-8369
(305) 968-2808
Mailing address
1009 FISK CT, LEXINGTON, KY 40511-8369
(305) 968-2808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10842
FL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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