Provider Demographics
NPI:1922235886
Name:ROYSTER, VALORIE KAY
Entity Type:Individual
Prefix:
First Name:VALORIE
Middle Name:KAY
Last Name:ROYSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE
Mailing Address - State:IA
Mailing Address - Zip Code:51012-1922
Mailing Address - Country:US
Mailing Address - Phone:712-330-1357
Mailing Address - Fax:
Practice Address - Street 1:204 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:IA
Practice Address - Zip Code:51012-1853
Practice Address - Country:US
Practice Address - Phone:712-225-5344
Practice Address - Fax:712-225-5346
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health