MEDICARE: ANGELA ROUMIE M.ED

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1063742914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ROUMIE M.ED

Provider Business Mailing Address
First Line	:	1441 HEATHER LN
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-5952
Country	:	US
Telephone Number	:	610-738-4451
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 HEATHER LANE
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380
Country	:	US
Telephone Number	:	610-738-4451
Fax Number	:

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

Provider Enumeration Date	:	12/28/2009
Last Update Date	:	12/28/2009

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