Provider Demographics
NPI:1528213824
Name:ROMANOWSKY, AMELIA KAPLAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:KAPLAN
Last Name:ROMANOWSKY
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 1:13 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2121
Mailing Address - Country:US
Mailing Address - Phone:732-470-7214
Mailing Address - Fax:
Practice Address - Street 1:13 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2121
Practice Address - Country:US
Practice Address - Phone:732-470-7214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017782103T00000X
NJ4778103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03074540Medicaid