Provider Demographics
NPI:1588843098
Name:ROMERO, RITA S (PHD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:S
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3784 MISSION AVE STE 148
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-1460
Mailing Address - Country:US
Mailing Address - Phone:760-846-0361
Mailing Address - Fax:858-521-9344
Practice Address - Street 1:334 HOLIDAY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-4260
Practice Address - Country:US
Practice Address - Phone:760-846-0361
Practice Address - Fax:858-521-9344
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14190103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical