Individual
DR. CHARLES P ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2538 CALIFORNIA ST, SAN FRANCISCO, CA 94115-2616
(415) 929-8701
Mailing address
2538 CALIFORNIA ST, SAN FRANCISCO, CA 94115-2616
(415) 929-8701
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
19541
CA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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