Provider Demographics
NPI:1669782298
Name:PIEPP ROMERO, ROSA DEL CARMEN FELICITA
Entity type:Individual
Prefix:
First Name:ROSA DEL CARMEN
Middle Name:FELICITA
Last Name:PIEPP ROMERO
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 1:6715 102ND ST
Mailing Address - Street 2:APT. 5R
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2453
Mailing Address - Country:US
Mailing Address - Phone:347-242-3210
Mailing Address - Fax:
Practice Address - Street 1:6715 102ND ST
Practice Address - Street 2:APT. 5R
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2453
Practice Address - Country:US
Practice Address - Phone:347-242-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-17
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018023235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist