Provider Demographics
NPI:1124747407
Name:HERNANDEZ, DULCE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DULCE
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 BARN SWALLOW WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-7698
Mailing Address - Country:US
Mailing Address - Phone:210-831-4257
Mailing Address - Fax:
Practice Address - Street 1:718 EMPRESARIO DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-9224
Practice Address - Country:US
Practice Address - Phone:210-831-4257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39515103TC1900X
TX202438106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist