| Doctor Name: | MR. MARK RICHARD ROMENS |
| NPI Number: | 1053521948 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 40004 N Liberty Bell Way Anthem, AZ - 850864614 |
| Business Phone Number: | 6234458017 |
| Business Fax Number: | 6234458080 |
| Mailing Address: | 3150 W Steinbeck Dr, ANTHEM |
| State: | AZ |
| Postal Code: | 850861536 |
| Phone Number: | 6235510568 |
| Fax Number: | 6234458080 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |