Hermosillo-Romo, David
Hermosillo-Romo, David is an individual health care provider with primary practice located at 5363 E Pima St Ste 100 , Tucson AZ 85712. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Hermosillo-Romo, David can be contacted via phone (520) 690-6443.Contact Information
Primary practice address
5363 E Pima St Ste 100
Tucson AZ 85712
Phone: (520) 690-6443
Fax: (520) 323-1336
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3614 | Arizona |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3614 | Arizona |
Profile Details
NPI number | 1467544718 |
---|---|
LBN Legal business name | Hermosillo-Romo, David |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467544718 | NPPES |
Arizona | Other | 930653 | AHCCCS |
Arizona | Other | AZ0618320 | AHCCCS |
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