Individual
LORI ROSE ROMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
833 CHESTNUT STREET EAST, SUITE 300, PHILADELPHIA, PA 19107-4405
(215) 861-8830
(215) 861-8833
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS 15096
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSO15096
PA
Other
Enumeration date
03/19/2009
Last updated
09/27/2011
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