Provider Demographics
NPI:1407809197
Name:CAWOOD, ROMY LANIER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROMY
Middle Name:LANIER
Last Name:CAWOOD
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 1:1705 EAST BLVD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5800
Mailing Address - Country:US
Mailing Address - Phone:704-335-8900
Mailing Address - Fax:
Practice Address - Street 1:1705 EAST BLVD
Practice Address - Street 2:SUITE 116
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5800
Practice Address - Country:US
Practice Address - Phone:704-335-8900
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2636103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist