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Gina Hernandez
Clinical Psychologist in Riverside, California
NPI 1740691757

Gina Hernandez is a Clinical Psychologist based in Riverside, CA and is specialized in Clinical. Gina Hernandez practices in Riverside, CA. The NPI Number for Gina Hernandez is 1740691757 and holds a License No. (California).

The current practice location address for Gina Hernandez is 3380 La Sierra Ave Ste 104-142, Riverside, CA and can be reached out via phone at 818-331-6961.

Location: 3380 La Sierra Ave Ste 104-142, Riverside, CA, 92503-5271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740691757
Provider Name
Gina Hernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
3380 La Sierra Ave Ste 104-142, Riverside, CA, 92503-5271
Phone Number
818-331-6961
Fax Number
Provider Enumeration Date
05/13/2014
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01536011 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
3380 La Sierra Ave Ste 104-142
City
Riverside
State
California
Zip
92503-5271
Phone Number
818-331-6961
Fax Number
person
Provider Business Mailing Address Details
Address
3380 La Sierra Ave Ste 104-142
City
Riverside
State
California
Zip
92503-5271
Phone Number
818-331-6961
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
94028528 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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