Stephan Romm is a Clinical in Evanston, Illinois. Stephan Romm practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephan Romm is 1104874494. The last update date is 2009-06-01.
Stephan Romm's current location address is 2353 Ridge Ave, Evanston, Illinois. You can contact this provider via phone number 8473283350 and fax number 8474916287. The mailing address for Stephan Romm is 2353 Ridge Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephan Romm |
|---|---|
| Address | 2353 Ridge Ave, Evanston, Illinois |
| Phone Number | 8473283350 |
| Fax Number | 8474916287 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1104874494 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2009-06-01 |
Provider Mailing Address Detail
| Address | 2353 Ridge Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602012662 |
| Phone Number | 8473283350 |
| Fax Number | 8474916287 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-004931 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273939000 | IL | MAGELLAN | |
| 216-06218 | IL | BCBS ID # | |
| 232373643 | IL | UNITED BEHAVIORAL HEALTH | |
| 782-5241 | IL | AETNA |
Post Comment/ Review Below
What is the Stephan Romm's unique identification number?
The Stephan Romm has been assigned the NPI (National Provider Identifier) Number 1104874494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Stephan Romm?
The Stephan Romm is physically situated at 2353 Ridge Ave, in the city of Evanston, state of IL, with the postal code 602012662.
What is the Stephan Romm's area of specialization and corresponding taxonomy classification?
The Stephan Romm's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did Stephan Romm receive its 1104874494 assignment?
The Stephan Romm was assigned its 1104874494 on 2006-05-05, which is the date when this unique identifier was issued to the organization.
When was the Stephan Romm's information last updated?
The Stephan Romm's information was last updated on 2009-06-01.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA