Individual
PRISCILLA ROTH-WALL
Active
Individual
PRISCILLA ROTH-WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1470
NM
103TC2200X
Clinical Child & Adolescent Psychologist
PSY1470
NM
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY1470
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16970748
—
NM
01
—
73763700
MAGELLAN
NM
01
—
PSY1470
PSYCHOLOGY LICENSE
NM
Enumeration date
07/12/2006
Last updated
04/30/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up