Individual
DR. ALICIA JAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9500 EUCLID AVE # S73, CLEVELAND, OH 44195-0001
(216) 444-2165
Mailing address
9500 EUCLID AVE # S73, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08032
OH
103TC0700X
Clinical Psychologist
PY10596
FL
Other
Enumeration date
03/20/2020
Last updated
12/08/2021
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