Individual
DAVID HERMOSILLO-ROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5363 E PIMA ST STE 100, TUCSON, AZ 85712
(520) 690-6443
(520) 323-1336
Mailing address
5363 E PIMA ST STE 100, TUCSON, AZ 85712
(520) 690-6443
(520) 323-1336
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3614
AZ
103T00000X
Psychologist
3614
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930653
AHCCCS
AZ
01
—
AZ0618320
BCBS
AZ
Enumeration date
09/28/2006
Last updated
09/11/2025
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