Provider Demographics
NPI:1457749103
Name:ROMANOW, HELENA
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:ROMANOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3133 SOMERSET PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3011
Mailing Address - Country:US
Mailing Address - Phone:405-979-0157
Mailing Address - Fax:
Practice Address - Street 1:3133 SOMERSET PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3011
Practice Address - Country:US
Practice Address - Phone:405-979-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral