Provider Demographics
NPI:1063766467
Name:BELTRAN, ROMMYS ALEMANIA (PHD CHT)
Entity type:Individual
Prefix:
First Name:ROMMYS
Middle Name:ALEMANIA
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:PHD CHT
Other - Prefix:
Other - First Name:ROMMYS
Other - Middle Name:ALEMANIA
Other - Last Name:CHAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD CHT
Mailing Address - Street 1:2662 HOLCOMB BRIDGE RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6819
Mailing Address - Country:US
Mailing Address - Phone:770-650-0000
Mailing Address - Fax:770-650-0002
Practice Address - Street 1:2662 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 340
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-6819
Practice Address - Country:US
Practice Address - Phone:770-650-0000
Practice Address - Fax:770-650-0002
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic