MEDICARE: NATALIE ANN ROMANIW M.A., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	201192	AR

General Provider Information

NPI Number	:	1184235798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ANN ROMANIW M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	4301 W MARKHAM ST # 621-1
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7101
Country	:	US
Telephone Number	:	501-686-8378
Fax Number	:	501-296-1160

Provider Business Practice Location Address
First Line	:	4301 W MARKHAM ST # 621-1
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7101
Country	:	US
Telephone Number	:	501-686-8378
Fax Number	:	501-296-1160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	01/23/2026

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