Provider Demographics
NPI:1154616290
Name:ROY, BRIANNA M (MS)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:M
Last Name:ROY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SAUNDERS ST
Mailing Address - Street 2:APT. 1L
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3977
Mailing Address - Country:US
Mailing Address - Phone:339-832-7303
Mailing Address - Fax:
Practice Address - Street 1:35 CONGRESS ST
Practice Address - Street 2:SUITE 214
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-5529
Practice Address - Country:US
Practice Address - Phone:978-542-1951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health