Provider Demographics
NPI:1467136580
Name:ROMANJENKO, REGINA
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:ROMANJENKO
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 1:50 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-3606
Mailing Address - Country:US
Mailing Address - Phone:307-672-2092
Mailing Address - Fax:307-673-1969
Practice Address - Street 1:50 W 3RD ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-3606
Practice Address - Country:US
Practice Address - Phone:307-672-2092
Practice Address - Fax:307-673-1969
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist