Individual
LUISA F HERNANDEZ MEDELLIN
Active
Individual
LUISA F HERNANDEZ MEDELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY9967
FL
103T00000X
Psychologist
PY9967
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY9967
FL
103TH0004X
Health Psychologist
PY9967
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY9967
FL
Other
Enumeration date
10/13/2017
Last updated
11/15/2023
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