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Individual

HEATHER R ROMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
314 W CATALPA DR STE E, MISHAWAKA, IN 46545-3194
(574) 254-1700
(574) 254-2930
Mailing address
314 W CATALPA DR STE E, MISHAWAKA, IN 46545-3194
(574) 254-1700
(574) 254-2930

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042614A
IN
103TC0700X
Clinical Psychologist
4037
NC

Other

Enumeration date
07/01/2011
Last updated
11/26/2012
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