Individual
KRISTIN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
22424 S ELLSWORTH LOOP RD UNIT 464, QUEEN CREEK, AZ 85142-7070
(480) 757-2253
Mailing address
2222 N MCQUEEN RD APT 2146, CHANDLER, AZ 85225-1325
(480) 729-0241
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
07/31/2024
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