Individual
ANDREW ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
55 PARK ST, MONTCLAIR, NJ 07042-3439
(973) 378-5641
(973) 762-0045
Mailing address
24 HARRISON CT, SOUTH ORANGE, NJ 07079-2409
(973) 378-5641
(973) 821-3420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00375000
NJ
Other
Enumeration date
02/04/2007
Last updated
12/10/2019
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