Individual
ROSA MARIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 WILSHIRE BLVD # 53, LOS ANGELES, CA 90010-3807
(323) 361-3849
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY33371
CA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2019
Last updated
11/07/2022
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