Search › Illinois › 103TC0700X
Nicole Hernandez, PHD
NPI 1205221439 · on the registry since 2015 · sole proprietor
Practice
- Address
- 210 S Randolph St
Macomb, IL 61455 - Phone
- (734) 673-1672
- Organisation at this address
- Macomb Mental Wellness Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois