Provider Demographics
NPI:1104688936
Name:HERNANDEZ, VERONICA BEATRIZ
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:BEATRIZ
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8391 WOODLINE CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4604
Mailing Address - Country:US
Mailing Address - Phone:703-785-8595
Mailing Address - Fax:
Practice Address - Street 1:8391 WOODLINE CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4604
Practice Address - Country:US
Practice Address - Phone:703-785-8595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health