Individual
DR. DAPHNA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
57 CEDAR LN, TEANECK, NJ 07666-4444
(201) 220-5452
Mailing address
57 CEDAR LN, TEANECK, NJ 07666-4444
(201) 220-5452
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
017516
NY
103G00000X
Clinical Neuropsychologist
Primary
4643
NJ
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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