| Doctor Name: | TIFFANY ROYSTER |
| NPI Number: | 1326211202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | LC2250 |
| Business Practice Address: | 4400 Stamp Rd Temple Hills, MD - 207486716 |
| Business Phone Number: | 3017753765 |
| Business Fax Number: | 3012484338 |
| Mailing Address: | 7100 Beissel Ct, BRANDYWINE |
| State: | MD |
| Postal Code: | 206136221 |
| Phone Number: | 3017753765 |
| Fax Number: | 3012484338 |
| NPI Enumeration Date: | 04/10/2008 |
| NPI Last Update Date: | 04/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LC2250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |