Provider Demographics
NPI:1528812435
Name:ROYKA, STEPHANIE (MS, CGC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ROYKA
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 JEFFERSON ST STE 625
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2602
Mailing Address - Country:US
Mailing Address - Phone:860-972-2884
Mailing Address - Fax:
Practice Address - Street 1:85 JEFFERSON ST STE 625
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2602
Practice Address - Country:US
Practice Address - Phone:860-972-2884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS