Provider Demographics
NPI:1710463229
Name:REBECCA S ROMA MD MBA EVALUATION AND CONSULTING LLC
Entity Type:Organization
Organization Name:REBECCA S ROMA MD MBA EVALUATION AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-472-8847
Mailing Address - Street 1:115 CONOVER RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2601
Mailing Address - Country:US
Mailing Address - Phone:724-472-8847
Mailing Address - Fax:412-626-7910
Practice Address - Street 1:134 S HIGHLAND AVE STE 309
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3968
Practice Address - Country:US
Practice Address - Phone:724-472-8847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4244392084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Single Specialty