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NPI Code Detail

MEDICARE: HOWARD P ROME JR. PHD

MEDICARE: HOWARD P ROME JR. PHD
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
1103TR0400XRehabilitation PsychologistPSY10193CA

General Provider Information

NPI Number : 1003810607
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD P ROME JR. PHD
Provider Business Mailing Address
First Line : 450 N WIGET LN
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2408
Country : US
Telephone Number : 925-482-8111
Fax Number : 925-482-1166
Provider Business Practice Location Address
First Line : 450 N WIGET LN
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2408
Country : US
Telephone Number : 925-482-8111
Fax Number : 925-482-1166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 05/15/2013

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Directions to “ HOWARD P ROME JR. PHD” Practice Location

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