Provider Demographics
NPI:1497225056
Name:ROMEO, EMILY KAY (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KAY
Last Name:ROMEO
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:KAY
Other - Last Name:WADEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 FOCH STREET
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117
Mailing Address - Country:US
Mailing Address - Phone:724-630-1561
Mailing Address - Fax:
Practice Address - Street 1:226 5TH ST
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-2306
Practice Address - Country:US
Practice Address - Phone:724-630-1561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA010835101YP2500X
PAPC010835101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional