Doctor Name: | MRS. WENDY ROMER |
NPI Number: | 1194096081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | 509566041 |
Business Practice Address: | 2500 Pond Vw Suite 102a Castleton, NY - 120339750 |
Business Phone Number: | 5184776072 |
Business Fax Number: | 5184776074 |
Mailing Address: | 2500 Pond Vw, Suite 102a CASTLETON |
State: | NY |
Postal Code: | 120339750 |
Phone Number: | 5184776072 |
Fax Number: | 5184776074 |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 509566041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |