Individual
DR. REBECCA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2810 CHARLEVOIX RD STE 102, PETOSKEY, MI 49770-8421
(231) 340-9113
(231) 642-9116
Mailing address
PO BOX 133, PETOSKEY, MI 49770-0133
(231) 340-9113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013498
MI
Other
Enumeration date
09/27/2007
Last updated
04/22/2024
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