Joan Marie Hernandez Rodriguez, PSY.D

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Immokalee, FL

NPI 1003733403 · NPPES record last updated Jul 6, 2026

Key facts

NPI
1003733403
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1441 Heritage Blvd
Immokalee, FL 34142-2260
Phone
(239) 658-3056
NPI assigned
Jul 6, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193400000X SINGLE SPECIALTY GROUP
390200000X FL Yes

Addresses

Primary practice location

1441 Heritage Blvd
Immokalee, FL 34142-2260

Mailing address

11290 Colonial Gateway Dr Apt 6306
Fort Myers, FL 33905-3954
Phone (239) 658-3056

Other providers in Immokalee, FL

All providers in Immokalee, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.