Provider Demographics
NPI:1326494063
Name:GOMILA ROMERO, MIGLANY EUNICE (PHD)
Entity type:Individual
Prefix:
First Name:MIGLANY
Middle Name:EUNICE
Last Name:GOMILA ROMERO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 CHRISAND LN
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-9436
Mailing Address - Country:US
Mailing Address - Phone:939-969-6845
Mailing Address - Fax:
Practice Address - Street 1:545 CHRISAND LN
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-9436
Practice Address - Country:US
Practice Address - Phone:939-969-6845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60877015103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical