Individual
DR. LAURA M HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14241 ROAD 28, MADERA, CA 93638-5715
(559) 907-0110
Mailing address
PO BOX 4777, FRESNO, CA 93744-4777
(559) 907-0110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14568
CA
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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