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NPI Code Detail

MEDICARE: AMANDA HERNANDEZ MA

MEDICARE: AMANDA HERNANDEZ MA
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
1101YP2500XProfessional CounselorPC016952PA

General Provider Information

NPI Number : 1538630413
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA HERNANDEZ MA
Provider Business Mailing Address
First Line : PO BOX 748465
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8465
Country : US
Telephone Number : 855-284-7483
Fax Number :
Provider Business Practice Location Address
First Line : 1950 STREET RD STE 410
Second Line :
City : BENSALEM
State : PA
Zip : 19020-3752
Country : US
Telephone Number : 215-782-6844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 04/04/2024

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Directions to “ AMANDA HERNANDEZ MA” Practice Location

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