Individual
DR. BARBARA J. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
9923 N 58TH DR, GLENDALE, AZ 85302-1346
(623) 412-4525
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2236937
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622515
—
AZ
Enumeration date
03/08/2007
Last updated
07/09/2007
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