1578956488 NPI number — MRS. DIANA MARIE ROMERO WEHR MASTERS IN SPEECH PA

Table of content: MRS. DIANA MARIE ROMERO WEHR MASTERS IN SPEECH PA (NPI 1578956488)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578956488 NPI number — MRS. DIANA MARIE ROMERO WEHR MASTERS IN SPEECH PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMERO WEHR
Provider First Name:
DIANA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MASTERS IN SPEECH PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578956488
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12251 HGHWY 41N SUITE A
Provider Second Line Business Mailing Address:
TRU REHAB
Provider Business Mailing Address City Name:
EVANSVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-868-1224
Provider Business Mailing Address Fax Number:
866-715-9733

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23019 HWY 149
Provider Second Line Business Practice Location Address:
KEOKUK CO HEALTH CENT.
Provider Business Practice Location Address City Name:
SIGOURNEY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-622-2720
Provider Business Practice Location Address Fax Number:
641-622-1186
Provider Enumeration Date:
03/17/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  00412 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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