Doctor Name: | DR. RENE HERNANDEZ CARDENACHE |
NPI Number: | 1306038005 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D., M.S.ED. |
License Number: | |
Business Practice Address: | 3225 Aviation Ave Suite 303 Coconut Grove, FL - 331334741 |
Business Phone Number: | 3052434060 |
Business Fax Number: | 3052434061 |
Mailing Address: | 3225 Aviation Ave, Suite 303 COCONUT GROVE |
State: | FL |
Postal Code: | 331334741 |
Phone Number: | 3052434060 |
Fax Number: | 3052434061 |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |