Provider Demographics
NPI:1093186983
Name:ROMERO, GIOVANNA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:GIOVANNA
Middle Name:M
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 NEWBURY ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1041
Mailing Address - Country:US
Mailing Address - Phone:978-777-7188
Mailing Address - Fax:
Practice Address - Street 1:435 NEWBURY ST
Practice Address - Street 2:SUITE 220
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1041
Practice Address - Country:US
Practice Address - Phone:978-777-7188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-17
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7166103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent