Provider Demographics
NPI:1285840025
Name:ROMWEBER, ERIKALYNN CECILIA (ERIKALYNN ROMWEBER)
Entity Type:Individual
Prefix:MRS
First Name:ERIKALYNN
Middle Name:CECILIA
Last Name:ROMWEBER
Suffix:
Gender:F
Credentials:ERIKALYNN ROMWEBER
Other - Prefix:
Other - First Name:ELYNN
Other - Middle Name:
Other - Last Name:PARENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1926 HARMON ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2725
Mailing Address - Country:US
Mailing Address - Phone:510-590-6034
Mailing Address - Fax:
Practice Address - Street 1:1926 HARMON ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2725
Practice Address - Country:US
Practice Address - Phone:510-590-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 15242235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist