Individual
TIFFANY ROYSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4400 STAMP RD, TEMPLE HILLS, MD 20748-6716
(301) 775-3765
(301) 248-4338
Mailing address
7100 BEISSEL CT, BRANDYWINE, MD 20613-6221
(301) 775-3765
(301) 248-4338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2250
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11829265
CAQH
MD
Enumeration date
04/10/2008
Last updated
04/10/2008
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