MEDICARE: HECTOR J. FERNANDEZ-BARILLAS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	1320	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225139850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR J. FERNANDEZ-BARILLAS PHD

Provider Business Mailing Address
First Line	:	1601 N TUCSON BLVD STE 21
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3407
Country	:	US
Telephone Number	:	520-325-6633
Fax Number	:	520-325-6677

Provider Business Practice Location Address
First Line	:	2102 N COUNTRY CLUB RD
Second Line	:	SUITE 4
City	:	TUCSON
State	:	AZ
Zip	:	85716-2831
Country	:	US
Telephone Number	:	520-325-6633
Fax Number	:	520-325-6644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	02/27/2024

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Directions to “ HECTOR J. FERNANDEZ-BARILLAS PHD” Practice Location

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