Most Relevant Information
Provider Data
| NPI Number: | 1003413493 |
| Provider Name: | DOMINICA B HERNANDEZ PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 003961 |
Most Important Dates
| Enumeration Date: | 10/08/2020 |
| Last Updated: | 10/08/2020 |
Provider Practice Location
4 DOUBLEDAY RD
COLUMBIA
CT
062371405
Practice Location Phone/Fax
| Phone: | 3107149861 |
| Fax: |
Provider Mailing Location
4 DOUBLEDAY RD
COLUMBIA
CT
062371405
Provider Mailing Phone/Fax
| Phone: | 3107149861 |
| Fax: |