Provider Demographics
NPI:1639455983
Name:ROMANOWSKI, MICHELE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:ROMANOWSKI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3841
Mailing Address - Country:US
Mailing Address - Phone:315-529-1561
Mailing Address - Fax:
Practice Address - Street 1:275 W 5TH ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3841
Practice Address - Country:US
Practice Address - Phone:315-341-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011808235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist