Basic Information
Provider Information
NPI: 1154684462
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMANO
FirstName: EMILY
MiddleName: FRANCESCA
NamePrefix: DR.
NameSuffix:  
Credential: AUD, CCC-A
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 78291
CountryCode: US
TelephoneNumber: 2103589500
FaxNumber: 2103589183
Practice Location
Address1: 1100 WILFORD HALL LOOP BLDG 4554
Address2:  
City: LACKLAND AFB
State: TX
PostalCode: 782365638
CountryCode: US
TelephoneNumber: 2102925420
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2012
LastUpdateDate: 04/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XSP-982-AUMAN Speech, Language and Hearing Service ProvidersAudiologist 
231H00000X81036TXY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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