Individual
NINOTCHKA ROMAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8007 LYNDON CENTRE WAY STE 101, LOUISVILLE, KY 40222-3608
(502) 690-8024
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-03375-T
KS
Other
Enumeration date
09/25/2024
Last updated
05/12/2025
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