Doctor Name: | TERESA E HERNANDEZ |
NPI Number: | 1083665731 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCSW |
License Number: | LSCSW 4164 |
Business Practice Address: | 215 S Santa Fe Ave Suite 102 Salina, KS - 674013980 |
Business Phone Number: | 7854046065 |
Business Fax Number: | |
Mailing Address: | 322 S 11th St, SALINA |
State: | KS |
Postal Code: | 674013819 |
Phone Number: | 7857872300 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSCSW 4164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |