Provider Demographics
NPI:1053080341
Name:ROMANOFF, ASHLEY E (BA, MA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:E
Last Name:ROMANOFF
Suffix:
Gender:F
Credentials:BA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WINDERMERE AVE APT 100
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4126
Mailing Address - Country:US
Mailing Address - Phone:610-329-6866
Mailing Address - Fax:
Practice Address - Street 1:2401 PENNSYLVANIA AVE STE 1A2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3002
Practice Address - Country:US
Practice Address - Phone:215-922-5683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor