MEDICARE: ERIN ROMANSKI M.A. SLP-CCC

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	235Z00000X	Speech-Language Pathologist	4855	WI
2	235Z00000X	Speech-Language Pathologist	2017013	OH

General Provider Information

NPI Number	:	1417497264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN ROMANSKI M.A. SLP-CCC

Provider Business Mailing Address
First Line	:	2569 QUEENSTON RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-4351
Country	:	US
Telephone Number	:	216-246-1985
Fax Number	:

Provider Business Practice Location Address
First Line	:	5740 DIBBLE RD
Second Line	:
City	:	KINGSVILLE
State	:	OH
Zip	:	44048-9809
Country	:	US
Telephone Number	:	440-224-2161
Fax Number	:

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

Provider Enumeration Date	:	02/27/2017
Last Update Date	:	05/20/2020

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