| Doctor Name: | DR. MARGARITA HERNANDEZ |
| NPI Number: | 1073775268 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.H.D |
| License Number: | 002171 |
| Business Practice Address: | 55 Town Line Rd Suite 101 Wethersfield, CT - 061094352 |
| Business Phone Number: | 8607573702 |
| Business Fax Number: | 8607573725 |
| Mailing Address: | 55 Town Line Rd, Suite #101 WETHERSFIELD |
| State: | CT |
| Postal Code: | 061094352 |
| Phone Number: | 8607573702 |
| Fax Number: | 8607573725 |
| NPI Enumeration Date: | 06/28/2008 |
| NPI Last Update Date: | 03/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 002171 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |