HERNANDEZ DYLAN ROBERT - NPI: 1548802333


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1548802333
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: ROBERT
Provider Last Name: HERNANDEZ
Provider Middle Name: DYLAN
Provider Gender Code: M
Provider Credential Text: DC
Provider Enumeration Date: 10/13/2019
Last Update Date: 10/13/2019

Business Address:

Provider First Line Business Mailing Address: 1709 E TREMAINE AVE
Provider Business Mailing Address City Name: GILBERT
Provider Business Mailing Address State Name: AZ
Provider Business Mailing Address Postal Code: 85234
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 7022770578

Mailing Address:

Provider First Line Business Practice Location Address: 4435 S RURAL RD STE 4
Provider Business Practice Location Address City Name: TEMPE
Provider Business Practice Location Address State Name: AZ
Provider Business Practice Location Address Postal Code: 85282
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 4804917241

Primary Taxonomy:

Taxonomy Code: 111N00000X
License Number: 8972
License State: AZ
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Chiropractic Providers
Classification: Chiropractor
Definition: A provider qualified by a Doctor of Chiropractic (D.C.)
Taxonomy Description: licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Source: The National Provider Identifier

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