Provider Demographics
NPI:1417497264
Name:ROMANSKI, ERIN (MA SLP-CCC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ROMANSKI
Suffix:
Gender:F
Credentials:MA SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2569 QUEENSTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4351
Mailing Address - Country:US
Mailing Address - Phone:216-246-1985
Mailing Address - Fax:
Practice Address - Street 1:5740 DIBBLE RD
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44048-9809
Practice Address - Country:US
Practice Address - Phone:440-224-2161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4855235Z00000X
OH2017013235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist