Provider Information for 1114415676
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LUCINDA HERNANDEZ LMHC
Sex: Female
NPI: 1114415676
Last Updated: 2022-10-04
Certification Date: 2022-10-04
Certification Date: 2022-10-04
Details
| Name | Value | ||||||||||||
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| NPI | 1114415676 | ||||||||||||
| Enumeration Date | 2018-04-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4350 SW 70TH TER DAVIE, FL 33314-3137 United States Phone: 954-336-6180 | Fax: | ||||||||||||
| Primary Practice Address | 4350 SW 70TH TER DAVIE, FL 33314-3137 United States Phone: 954-670-7596 | Fax: | ||||||||||||
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