Healthcare Provider Details

I. General information

NPI: 1396973392
Provider Name (Legal Business Name): BRANDON P ROMANO PSYD & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10211 SIEGEN LN STE 2A
BATON ROUGE LA
70810-4988
US

IV. Provider business mailing address

10211 SIEGEN LN STE 2A
BATON ROUGE LA
70810-4926
US

V. Phone/Fax

Practice location:
  • Phone: 225-769-2533
  • Fax: 225-769-2441
Mailing address:
  • Phone: 225-769-2533
  • Fax: 225-769-2441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number977
License Number StateLA

VIII. Authorized Official

Name: DR. BRANDON P. ROMANO
Title or Position: OWNER / CLINICAL PSYCHOLOGIST
Credential: PSY.D., MSCP
Phone: 225-769-2533