Provider Demographics
NPI:1851828982
Name:ROMANO, LINDA (MED PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:MED PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13113 FERNEDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906
Mailing Address - Country:US
Mailing Address - Phone:650-862-8228
Mailing Address - Fax:
Practice Address - Street 1:801 7TH ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2473
Practice Address - Country:US
Practice Address - Phone:202-729-3270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool