Provider Demographics
NPI:1447565338
Name:ROMESBURG, STEPHANNIE K (LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANNIE
Middle Name:K
Last Name:ROMESBURG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1883 W 21ST ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2104
Mailing Address - Country:US
Mailing Address - Phone:316-832-0277
Mailing Address - Fax:316-838-5658
Practice Address - Street 1:1883 W 21ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2104
Practice Address - Country:US
Practice Address - Phone:316-832-0277
Practice Address - Fax:316-838-5658
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC812101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional