Provider Demographics
NPI:1639410343
Name:HAGHIGHAT, ROYA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ROYA
Middle Name:
Last Name:HAGHIGHAT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 KEEL DR
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1243
Mailing Address - Country:US
Mailing Address - Phone:949-458-2715
Mailing Address - Fax:
Practice Address - Street 1:200 NEWPORT CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7503
Practice Address - Country:US
Practice Address - Phone:310-433-7165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2018-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist