Provider Demographics
NPI:1013353531
Name:ROMIROWSKY, ABIGAIL MINTZ (PHD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MINTZ
Last Name:ROMIROWSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:DIANA
Other - Last Name:MINTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2317 ONTARIO RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3333 CONNECTICUT AVE NW
Practice Address - Street 2:UNIT 104
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-505-1865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05113103TC2200X
DCPSY1000932103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent