Provider Demographics
NPI:1437488459
Name:ROMIROWSKY, RAQUEL A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RAQUEL
Middle Name:A
Last Name:ROMIROWSKY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:RAQUEL
Other - Middle Name:A
Other - Last Name:SEROUYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2133 ARCH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1350
Mailing Address - Country:US
Mailing Address - Phone:215-285-6291
Mailing Address - Fax:888-972-8142
Practice Address - Street 1:2133 ARCH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1350
Practice Address - Country:US
Practice Address - Phone:215-285-6291
Practice Address - Fax:888-972-8142
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016435103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist