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NPI Code Detail

MEDICARE: DR. SHERRY A ROYSTER ED.D.

MEDICARE: DR. SHERRY A ROYSTER ED.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC13457NC
2101YP2500XProfessional CounselorLC3122MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689989634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERRY A ROYSTER ED.D.
Provider Business Mailing Address
First Line : 3904 BRENBROOK DR
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-3639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE STE 200
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-5210
Country : US
Telephone Number : 703-562-9220
Fax Number : 703-520-7745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2010
Last Update Date : 03/17/2025

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Directions to “ DR. SHERRY A ROYSTER ED.D.” Practice Location

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