Provider Demographics
NPI:1417496258
Name:ROMINES, MEGAN ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:ROMINES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36712 COUNTY ROAD 1690
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:OK
Mailing Address - Zip Code:74871-1898
Mailing Address - Country:US
Mailing Address - Phone:580-618-3630
Mailing Address - Fax:
Practice Address - Street 1:36712 COUNTY ROAD 1690
Practice Address - Street 2:
Practice Address - City:STONEWALL
Practice Address - State:OK
Practice Address - Zip Code:74871-1898
Practice Address - Country:US
Practice Address - Phone:580-618-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool