MEDICARE: BRANDI MICHELLE ROMERO

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1144988635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDI MICHELLE ROMERO

Provider Business Mailing Address
First Line	:	250 THE VLG UNIT 212
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-2540
Country	:	US
Telephone Number	:	619-354-8423
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 THE VLG UNIT 212
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-2540
Country	:	US
Telephone Number	:	619-354-8423
Fax Number	:

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

Provider Enumeration Date	:	12/02/2021
Last Update Date	:	11/04/2024

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Directions to “ BRANDI MICHELLE ROMERO ” Practice Location

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