Individual
AMANDA LYNN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
4142 HOLL AVE, SHEFFIELD LAKE, OH 44054-2116
(216) 242-8423
Mailing address
1939 OBERLIN AVE, LORAIN, OH 44052-3959
(440) 963-7042
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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