| Doctor Name: | TARA S ROMANO |
| NPI Number: | 1023238201 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW ACSW LMFT BCD |
| License Number: | TR034285 |
| Business Practice Address: | 607 Heritage Ct Holland, MI - 494235481 |
| Business Phone Number: | 6163966285 |
| Business Fax Number: | 6163557704 |
| Mailing Address: | Po Box 120125, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495280103 |
| Phone Number: | 6163966285 |
| Fax Number: | 6163557704 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | TR034285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |