Individual
DR. RAPHAEL ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.,
Contact information
Practice address
204 W HILL BLVD, CHARLESTON, SC 29404-4704
(843) 963-6539
Mailing address
204 W HILL BLVD, CHARLESTON, SC 29404-4704
(843) 963-6539
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY24863
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
03/20/2007
Last updated
07/19/2023
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