Provider Demographics
NPI:1750619250
Name:HERNANDEZ, BARBARA ANN (LMFT, PSY D)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LMFT, PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12440 FIRESTONE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-9323
Mailing Address - Country:US
Mailing Address - Phone:562-450-0620
Mailing Address - Fax:562-366-8423
Practice Address - Street 1:12440 FIRESTONE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650
Practice Address - Country:US
Practice Address - Phone:562-450-0620
Practice Address - Fax:562-366-8423
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT46641106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist