Provider Demographics
NPI:1073642047
Name:ANJOY, ROMA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROMA
Middle Name:
Last Name:ANJOY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ROMA
Other - Middle Name:
Other - Last Name:SAFRANEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3027 NE 96TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2440
Mailing Address - Country:US
Mailing Address - Phone:206-522-9916
Mailing Address - Fax:
Practice Address - Street 1:3027 NE 96TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2440
Practice Address - Country:US
Practice Address - Phone:206-522-9916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0993103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist