Provider Demographics
NPI:1477196392
Name:ROMANO, LYNANNE (PSYD)
Entity type:Individual
Prefix:
First Name:LYNANNE
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 S COLLEGE RD # 1109
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-1632
Mailing Address - Country:US
Mailing Address - Phone:424-844-3470
Mailing Address - Fax:
Practice Address - Street 1:322 S COLLEGE RD # 1109
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1632
Practice Address - Country:US
Practice Address - Phone:424-844-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06269103T00000X
DEB1-0011253103T00000X
NC6149103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist