Individual
RAQUEL ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5555 E. KELLOGG, WICHITA, KS 67218-1698
(316) 685-2221
Mailing address
5555 E. KELLOGG, WICHITA, KS 67218
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1028
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229020A
—
KS
Enumeration date
11/01/2006
Last updated
09/11/2009
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