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Individual

JANET ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2702 DANA ST, BERKELEY, CA 94705-1136
(510) 843-7684
Mailing address
2702 DANA ST, BERKELEY, CA 94705-1136
(510) 843-7684

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A23824
OTHER
CA
Enumeration date
04/10/2007
Last updated
07/08/2007
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