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Provider Information for 1003531542


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Mrs. IREN ROYTER LMHC


Sex: Female

NPI: 1003531542
Last Updated: 2022-10-06
Certification Date: 2022-10-06

Details

NameValue
NPI1003531542
Enumeration Date2022-10-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4743 NW 121ST AVE
CORAL SPRINGS, FL 33076-2232
United States

Phone: 954-778-7884 | Fax:
 
Primary Practice Address 4743 NW 121ST AVE FL 33076
CORAL SPRINGS, FL 33076-2232
United States

Phone: 954-778-7884 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193200000X - Multi-Specialty Group
101YM0800X - Counselor - Mental Health
FLMH21239