Provider Demographics
NPI:1801221106
Name:HERNANDEZ, REMA S (MA)
Entity Type:Individual
Prefix:MRS
First Name:REMA
Middle Name:S
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:REMA
Other - Middle Name:S
Other - Last Name:BEIRUTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:170 PLEASANT ST
Mailing Address - Street 2:ROOM 100
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-3015
Mailing Address - Country:US
Mailing Address - Phone:774-294-5722
Mailing Address - Fax:774-294-5724
Practice Address - Street 1:170 PLEASANT ST
Practice Address - Street 2:ROOM 100
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-3015
Practice Address - Country:US
Practice Address - Phone:774-294-5722
Practice Address - Fax:774-294-5724
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor