| Doctor Name: | VINCE HERNANDEZ |
| NPI Number: | 1063683050 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCS17938 |
| Business Practice Address: | 380 N Reservation Rd Porterville, CA - 932579673 |
| Business Phone Number: | 5597842316 |
| Business Fax Number: | 5597912533 |
| Mailing Address: | Po Box 768, 380 N Reservation Rd PORTERVILLE |
| State: | CA |
| Postal Code: | 935580768 |
| Phone Number: | 5597842316 |
| Fax Number: | 5597912533 |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 12/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS17938 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |