Provider Demographics
NPI:1215091939
Name:ROMIROWSKY, SAMUEL (PHD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:
Last Name:ROMIROWSKY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:F52 OMEGA DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2062
Mailing Address - Country:US
Mailing Address - Phone:302-737-7090
Mailing Address - Fax:302-737-7430
Practice Address - Street 1:52 OMEGA DR
Practice Address - Street 2:SUITE F
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2062
Practice Address - Country:US
Practice Address - Phone:302-737-7090
Practice Address - Fax:302-737-7430
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB10000330103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic