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Individual

WILLIAM M. ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
PS02499-L
PA
103TS0200X
School Psychologist
Primary
PA

Other

Enumeration date
06/09/2006
Last updated
07/13/2026
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