Doctor Name: | HEATHER DANIELLE ROMANOW |
NPI Number: | 1558738518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SL012530 |
Business Practice Address: | 214 Peach Orchard Rd Mc Connellsburg, PA - 172338559 |
Business Phone Number: | 7174856108 |
Business Fax Number: | 7174856327 |
Mailing Address: | 214 Peach Orchard Rd, MC CONNELLSBURG |
State: | PA |
Postal Code: | 172338559 |
Phone Number: | 7174856108 |
Fax Number: | 7174856327 |
NPI Enumeration Date: | 08/26/2015 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL012530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |