Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | PSY10193 | CA |
NPI | 1003810607 |
---|---|
Provider Name | Howard P Rome JR. |
First Address | Walnut Creek, CA 94598-2408 |
Second Address | Walnut Creek, CA 94598-2408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 15/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OPL101930 | (02) | CA |