Provider Demographics
NPI:1407094477
Name:ROMY V. SPITZ
Entity Type:Organization
Organization Name:ROMY V. SPITZ
Other - Org Name:COMMUNICATION CONSULTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMY
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:SPITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:207-725-7236
Mailing Address - Street 1:20 WHEELER PARK
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-1662
Mailing Address - Country:US
Mailing Address - Phone:207-725-7236
Mailing Address - Fax:
Practice Address - Street 1:20 WHEELER PARK
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-1662
Practice Address - Country:US
Practice Address - Phone:207-725-7236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME133290100Medicaid
ME133290199Medicaid