Provider Demographics
NPI:1104937598
Name:ROMIG, LAURA KRISTEN (LMFT)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:KRISTEN
Last Name:ROMIG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:KRISTEN
Other - Last Name:RAFFERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5660 STRAND CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-3343
Mailing Address - Country:US
Mailing Address - Phone:561-313-7524
Mailing Address - Fax:
Practice Address - Street 1:5660 STRAND CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-3343
Practice Address - Country:US
Practice Address - Phone:561-313-7524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45994106H00000X
FLMT2496106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist