Provider Demographics
NPI:1437456266
Name:ROMANO, JOHN CHARLES (LMFT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CHARLES
Last Name:ROMANO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SHEFFIELD ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-1048
Mailing Address - Country:US
Mailing Address - Phone:203-596-9724
Mailing Address - Fax:203-759-0566
Practice Address - Street 1:36 SHEFFIELD ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-1048
Practice Address - Country:US
Practice Address - Phone:203-596-9724
Practice Address - Fax:203-759-0566
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001590106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist