Healthcare Provider Details

I. General information

NPI: 1497347330
Provider Name (Legal Business Name): TEQUITA L ROMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 CLEVELAND ST STE 150
VIRGINIA BEACH VA
23462-1789
US

IV. Provider business mailing address

7510 NEWPORT AVE
NORFOLK VA
23505-3358
US

V. Phone/Fax

Practice location:
  • Phone: 757-401-4435
  • Fax:
Mailing address:
  • Phone: 757-831-2856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202006239
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: