Provider Demographics
NPI:1851163455
Name:MICHAEL ROMANIUK PHD LLC
Entity Type:Organization
Organization Name:MICHAEL ROMANIUK PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANIUK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-703-2980
Mailing Address - Street 1:799 WHITE POND DR STE D
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-1189
Mailing Address - Country:US
Mailing Address - Phone:330-703-2980
Mailing Address - Fax:330-665-5400
Practice Address - Street 1:799 WHITE POND DR STE D
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1189
Practice Address - Country:US
Practice Address - Phone:330-703-2980
Practice Address - Fax:330-665-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty