Individual
MRS. NATALIE A ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
98D COPE CREEK RD, SYLVA, NC 28779-9508
(828) 586-2311
(828) 586-5450
Mailing address
398 HOSPITAL RD, SYLVA, NC 28779-5196
(828) 586-2311
(828) 586-5450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
2005-92
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/10/2007
Last updated
09/15/2008
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