Roman, Corey Paul

Roman, Corey Paul is an individual health care provider with primary practice located at 2101 Jacob St , Wheeling WV 26003-3800. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Roman, Corey Paul can be contacted via phone (304) 234-8517.

Contact Information

Primary practice address
2101 Jacob St Wheeling WV 26003-3800
Fax: (304) 234-8745
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 212 West Virginia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 212 West Virginia

Profile Details

NPI number 1376650374
LBN Legal business name Roman, Corey Paul
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376650374 NPPES
Ohio MEDICAID 2585653
Ohio MEDICAID 0165104000

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