Individual
BARBARA EDESON ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
THE NATHANIEL WITHERELL HOME, 70 PARSONAGE ROAD, GREENWICH, CT 06830
(203) 618-4200
Mailing address
220 CHESTNUT ST APT 1C, PORT CHESTER, NY 10573-3140
(914) 565-9677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004069-01
NY
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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