Individual
SAMIA ORTIZ-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2401 SOUTH 31ST STREET, MS-22-103E, TEMPLE, TX 76508
(787) 220-9967
Mailing address
678 N ARMISTEAD ST, ALEXANDRIA, VA 22312-2934
(787) 220-9967
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810007265
VA
103TC0700X
Clinical Psychologist
0810007265
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2017
Last updated
01/27/2022
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