Individual
LOURDES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
6555 NW 36TH ST, STE 209, VIRGINIA GARDENS, FL 33166-6978
(305) 775-0916
(305) 602-9834
Mailing address
6555 NW 36TH ST, STE 209, VIRGINIA GARDENS, FL 33166-6978
(305) 602-9834
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
PY8826
FL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
08/21/2013
Last updated
09/02/2016
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