Provider Demographics
NPI:1629855044
Name:ROMAGNOLI, BRENDA ROJAS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:ROJAS
Last Name:ROMAGNOLI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6525 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7365
Mailing Address - Country:US
Mailing Address - Phone:786-253-0488
Mailing Address - Fax:
Practice Address - Street 1:11211 PROSPERITY FARMS RD STE C303
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3401
Practice Address - Country:US
Practice Address - Phone:561-688-9795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11911103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist