Doctor Name: | PATRICIA LEAL ROMO |
NPI Number: | 1124316179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M-ED, LPC, LMFT |
License Number: | 11861 |
Business Practice Address: | 500 West Ave Levelland, TX - 793363341 |
Business Phone Number: | 8068979735 |
Business Fax Number: | 8065680299 |
Mailing Address: | 500 West Ave, LEVELLAND |
State: | TX |
Postal Code: | 793363341 |
Phone Number: | 8068979735 |
Fax Number: | 8065680299 |
NPI Enumeration Date: | 07/12/2011 |
NPI Last Update Date: | 07/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 11861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |