Doctor Name: | AMY MARIE ROMANO |
NPI Number: | 1033465216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLPC |
License Number: | 6401013092 |
Business Practice Address: | 1693 W Hamlin Rd Rochester Hills, MI - 483093312 |
Business Phone Number: | 2482992999 |
Business Fax Number: | 2482992994 |
Mailing Address: | 1693 W Hamlin Rd, ROCHESTER HILLS |
State: | MI |
Postal Code: | 483093312 |
Phone Number: | 2482992999 |
Fax Number: | 2482992994 |
NPI Enumeration Date: | 07/25/2012 |
NPI Last Update Date: | 07/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401013092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |