Doctor Name: | ANDREA GAYLE HERNANDEZ |
NPI Number: | 1003116468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 1101 W Moana Ln Ste 2 Reno, NV - 895094734 |
Business Phone Number: | 7753372394 |
Business Fax Number: | 7753379570 |
Mailing Address: | 1872 Zephyr Way, SPARKS |
State: | NV |
Postal Code: | 894311949 |
Phone Number: | 7022365840 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |