Doctor Name: | STEPHANIE EILEEN HERNANDEZ |
NPI Number: | 1669740387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 11600 Eldridge Ave Lake View Terrace, CA - 913426506 |
Business Phone Number: | 8186863000 |
Business Fax Number: | |
Mailing Address: | 401 El Adobe St, BAKERSFIELD |
State: | CA |
Postal Code: | 933076899 |
Phone Number: | 6613315020 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2011 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |