Doctor Name: | MICHAEL HERNANDEZ |
NPI Number: | 1053741199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 6802087531 |
Business Practice Address: | 916 Washington Ave Bay City, MI - 487085730 |
Business Phone Number: | 9894971568 |
Business Fax Number: | |
Mailing Address: | 916 Washington Ave, BAY CITY |
State: | MI |
Postal Code: | 487085730 |
Phone Number: | 9894971568 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2013 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6802087531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |