Provider Demographics
NPI:1710207428
Name:ROPER, CARYL RICHARDS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CARYL
Middle Name:RICHARDS
Last Name:ROPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 GREENHOWE DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9053
Mailing Address - Country:US
Mailing Address - Phone:717-569-4750
Mailing Address - Fax:717-569-3343
Practice Address - Street 1:537 GREENHOWE DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9053
Practice Address - Country:US
Practice Address - Phone:717-669-4258
Practice Address - Fax:717-569-3343
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002816101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional