| Tanya B. Hernandez, Psyd Llc | |
|
932 Hungerford Dr Suite 37 A Rockville MD 20850-1713 | |
| (301) 257-4599 | |
| (301) 330-6435 |
| Full Name | Tanya B. Hernandez, Psyd Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 932 Hungerford Dr, Rockville, Maryland |
| Authorized Official Name and Position | Tanya B Hernandez (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3012574599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya B. Hernandez, Psyd Llc 5714 Avery Park Dr Derwood MD 20855-1738 Ph: (301) 257-4599 | Tanya B. Hernandez, Psyd Llc 932 Hungerford Dr Suite 37 A Rockville MD 20850-1713 Ph: (301) 257-4599 |
| NPI Number | 1730322686 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 04/08/2009 |
| Medicare PECOS PAC ID | 9032267380 |
|---|---|
| Medicare Enrollment ID | O20090427000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730322686 | NPI | - | NPPES |
| 491976 | Other | MD | MIN |
| 1972620607 | Other | MD | PERSONAL NPI |
| 408321100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3982 (Maryland) | Primary |
| Provider Name | Tanya B Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972620607 PECOS PAC ID: 6507803004 Enrollment ID: I20050415000593 |
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