| Clinical Forensic Neuropsychology Llc | |
|
5210 E Pima St Ste 210 Tucson AZ 85712-3678 | |
| (520) 400-6467 | |
| (520) 615-0833 |
| Full Name | Clinical Forensic Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5210 E Pima St Ste 210, Tucson, Arizona |
| Authorized Official Name and Position | David Hermosillo-romo (OWNER) |
| Authorized Official Contact | 5204006467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Forensic Neuropsychology Llc 5210 E Pima St Ste 210 Tucson AZ 85712-3678 Ph: (520) 400-6467 | Clinical Forensic Neuropsychology Llc 5210 E Pima St Ste 210 Tucson AZ 85712-3678 Ph: (520) 400-6467 |
| NPI Number | 1194571232 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194571232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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