Individual
MS. KATHLEEN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4928 HAMILTON DR, DAVENPORT, IA 52807-3093
(563) 468-7834
Mailing address
4928 HAMILTON DR, DAVENPORT, IA 52807-3093
(563) 468-7834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007479
IL
Other
Enumeration date
03/05/2007
Last updated
03/17/2018
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