Provider Demographics
NPI:1437040953
Name:AYDELMAN, ROKSAN
Entity type:Individual
Prefix:
First Name:ROKSAN
Middle Name:
Last Name:AYDELMAN
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 1:4740 DRUMMOND LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-4012
Mailing Address - Country:US
Mailing Address - Phone:407-449-0111
Mailing Address - Fax:
Practice Address - Street 1:4740 DRUMMOND LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-4012
Practice Address - Country:US
Practice Address - Phone:407-449-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health