MEDICARE: ARMANDO HERNANDEZ MORALES 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	2627	WI

General Provider Information

NPI Number	:	1134337850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMANDO HERNANDEZ MORALES PHD

Provider Business Mailing Address
First Line	:	815 FORWARD DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-2443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 INTERNATIONAL LN STE 201
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53704-3126
Country	:	US
Telephone Number	:	608-268-6530
Fax Number	:	608-285-5646

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	02/05/2025

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