Joan Marie Hernandez Rodriguez, Psy.D
Student in an Organized Health Care Education/Training Program in Immokalee, FL. Individual provider (NPI-1).
NPI number1003733403
StatusActive
Last updated in NPPESJul 6, 2026
Details
- NPI
- 1003733403
- Entity type
- Individual (NPI-1)
- Name
- Joan Marie Hernandez Rodriguez
- Credential
- Psy.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2026
- Certification date
- Jul 6, 2026
- Last updated
- Jul 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | FL | Yes |
Practice location
1441 Heritage BlvdImmokalee, FL 34142-2260
Phone 239-658-3056
Mailing address
11290 Colonial Gateway Dr Apt 6306Fort Myers, FL 33905-3954
Phone 239-658-3056
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