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NPI Code Detail

MEDICARE: DR. SUZETTE LAUSELL HERNANDEZ PSYD

MEDICARE: DR. SUZETTE LAUSELL HERNANDEZ PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist40397TX

General Provider Information

NPI Number : 1023976974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZETTE LAUSELL HERNANDEZ PSYD
Provider Business Mailing Address
First Line : 709 E ESPERANZA AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-1470
Country : US
Telephone Number : 956-413-7005
Fax Number :
Provider Business Practice Location Address
First Line : 709 E ESPERANZA AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-1470
Country : US
Telephone Number : 956-413-7005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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