Provider Demographics
NPI:1588843098
Name:ROMERO, RITA S (PHD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:S
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3784 MISSION AVE STE 148
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-1460
Mailing Address - Country:US
Mailing Address - Phone:760-846-0361
Mailing Address - Fax:858-521-9344
Practice Address - Street 1:5425 OBERLIN DR STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1703
Practice Address - Country:US
Practice Address - Phone:760-846-0361
Practice Address - Fax:858-521-9344
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14190103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical