Provider Demographics
NPI:1164640835
Name:ROMANO, SANDRA L (AUD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:L
Last Name:ROMANO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WILSON BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-3837
Mailing Address - Country:US
Mailing Address - Phone:703-525-1898
Mailing Address - Fax:703-525-0014
Practice Address - Street 1:2500 WILSON BLVD
Practice Address - Street 2:STE 105
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-3837
Practice Address - Country:US
Practice Address - Phone:703-525-1898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001163237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter