Healthcare Provider Details

I. General information

NPI: 1689859688
Provider Name (Legal Business Name): ROMILA DASGUPTA M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5709 W SUNSET HWY STE 100
SPOKANE WA
99224-6005
US

IV. Provider business mailing address

2895 PAULING AVE # B223
RICHLAND WA
99354-2833
US

V. Phone/Fax

Practice location:
  • Phone: 509-328-2740
  • Fax:
Mailing address:
  • Phone: 512-971-4617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: