Vivian O. Hernandez in Fort Wayne - Clinical

Vivian O. Hernandez - NPI 1396735064

Vivian O. Hernandez is a Clinical in Fort Wayne, Indiana. Vivian O. Hernandez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vivian O. Hernandez is 1396735064. The last update date is 2007-07-08.

Vivian O. Hernandez's current location address is 909 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604812700 and fax number 2604812717. The mailing address for Vivian O. Hernandez is 909 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivian O. Hernandez
Address 909 E State Blvd, Fort Wayne, Indiana
Phone Number 2604812700
Fax Number 2604812717
Sole Proprietor N
Credentials PH.D., HSP

NPI Number Detail

NPI Number 1396735064
Provider Enumeration Date 2005-10-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 909 E State Blvd
City Fort Wayne
State Indiana (IN)
Post Code 468053404
Phone Number 2604812700
Fax Number 2604812717

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20040516A
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Vivian O. Hernandez

What is the Vivian O. Hernandez's 1396735064?

The Vivian O. Hernandez's NPI (National Provider Identifier) Number is 1396735064. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Vivian O. Hernandez's facilities are geographically located?

The facilities of Vivian O. Hernandez are physically situated at the following location: 909 E State Blvd, Fort Wayne, IN, 468053404.

What is Vivian O. Hernandez's area of expertise and its corresponding taxonomy classification?

The Vivian O. Hernandez's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

When was the Vivian O. Hernandez's 1396735064 issued?

The Vivian O. Hernandez's 1396735064 was issued on 2005-10-25.

When was the information regarding Vivian O. Hernandez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Vivian O. Hernandez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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