Hernandez, Kim-Marie

Hernandez, Kim-Marie is an sole proprietor health care provider with primary practice located at 6012 W William Cannon Dr Ste B103 , Austin TX 78749-1978. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hernandez, Kim-Marie can be contacted via phone (512) 633-2757.

Contact Information

Primary practice address
6012 W William Cannon Dr Ste B103 Austin TX 78749-1978
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32190 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 31471 Texas

Profile Details

NPI number 1164555421
LBN Legal business name Hernandez, Kim-Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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