Doctor Name: | CAROLYN ROYSTER |
NPI Number: | 1134492648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C007859 |
Business Practice Address: | 355 S Madison Blvd Ste C Roxboro, NC - 275735485 |
Business Phone Number: | 3365998366 |
Business Fax Number: | 3363226168 |
Mailing Address: | 355 S Madison Blvd Ste C, ROXBORO |
State: | NC |
Postal Code: | 275735485 |
Phone Number: | 3365998366 |
Fax Number: | 3363226168 |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 08/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C007859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |