Provider Demographics
NPI:1669538575
Name:ROYER, ERIN (MA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ROYER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6704 150TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1424
Mailing Address - Country:US
Mailing Address - Phone:718-575-9585
Mailing Address - Fax:
Practice Address - Street 1:67-04 150TH ST
Practice Address - Street 2:2ND FL
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1424
Practice Address - Country:US
Practice Address - Phone:718-575-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor