Provider Demographics
NPI:1114471042
Name:ROMERO, SARAH LAWRENCE (MS)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LAWRENCE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:KIMBLE
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:810 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3704
Mailing Address - Country:US
Mailing Address - Phone:318-600-4260
Mailing Address - Fax:
Practice Address - Street 1:810 N 29TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3704
Practice Address - Country:US
Practice Address - Phone:318-600-4260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7658235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist