Provider Demographics
NPI:1902542582
Name:ROMERO, LIZBETH (BS GENERALSOCIOLOGY)
Entity Type:Individual
Prefix:
First Name:LIZBETH
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:BS GENERALSOCIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 E HYDE PARK PL APT 5
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302
Mailing Address - Country:US
Mailing Address - Phone:310-930-1405
Mailing Address - Fax:
Practice Address - Street 1:561 E HYDE PARK PL APT 5
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302
Practice Address - Country:US
Practice Address - Phone:310-930-1405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician