Royster, Denise S

Royster, Denise S is an individual health care provider with primary practice located at 650 Joe Frank Harris Pkwy Se , Cartersville GA 30120-3962. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Royster, Denise S can be contacted via phone (770) 387-3538.

Contact Information

Primary practice address
650 Joe Frank Harris Pkwy Se Cartersville GA 30120-3962
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005099 Georgia

Profile Details

NPI number 1700060779
LBN Legal business name Royster, Denise S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Aug 22nd, 2011 - about 13 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 1700060779 NPPES
Georgia Other LPC005099 LICENSE

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