MEDICARE: MRS. RYAN ASHLEY ROMERO-SPEED LMFT

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	IMF65571	CA
2	106H00000X	Marriage & Family Therapist	LMFT110886	CA

General Provider Information

NPI Number	:	1811229511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RYAN ASHLEY ROMERO-SPEED LMFT

Provider Business Mailing Address
First Line	:	351 MADISON ST
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-2613
Country	:	US
Telephone Number	:	209-614-9182
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 E SAN JOAQUIN ST STE 102&103
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-2945
Country	:	US
Telephone Number	:	831-424-5033
Fax Number	:	831-424-5044

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

Provider Enumeration Date	:	02/04/2010
Last Update Date	:	02/07/2023

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