| Doctor Name: | WILLIAM KRISTOPHER ROMAN |
| NPI Number: | 1043563067 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. LLPC |
| License Number: | 6401013326 |
| Business Practice Address: | 8336 Monroe Rd Rm 120 Lambertville, MI - 481449340 |
| Business Phone Number: | 7348070162 |
| Business Fax Number: | 7342247872 |
| Mailing Address: | 8336 Monroe Rd Rm 120, LAMBERTVILLE |
| State: | MI |
| Postal Code: | 481449340 |
| Phone Number: | 7348070162 |
| Fax Number: | 7342247872 |
| NPI Enumeration Date: | 10/16/2012 |
| NPI Last Update Date: | 10/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401013326 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |