Organization
DYNAMIC PSYCHOLOGY ASSESSMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M HERNANDEZ PSYD (OWNER)
(719) 396-2039
Entity
Organization
Contact information
Practice address
6937 SHEA DR APT A, COLORADO SPRINGS, CO 80902-7335
(341) 600-8165
Mailing address
6510 S ACADEMY BLVD STE A, COLORADO SPRINGS, CO 80906-8691
(719) 396-2039
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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