Basic Information
| Provider Information | |||||||||
| NPI: | 1003295585 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROMANO | ||||||||
| FirstName: | SERAFINA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22731 NEWMAN ST | ||||||||
| Address2: | STE 120 | ||||||||
| City: | DEARBORN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481242034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3135828852 | ||||||||
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| Practice Location | |||||||||
| Address1: | 22731 NEWMAN ST | ||||||||
| Address2: | STE 120 | ||||||||
| City: | DEARBORN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481242034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3135828852 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2015 | ||||||||
| LastUpdateDate: | 05/29/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 1601000653 | MI | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.