Individual
NANCY KAY ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5166 PLATTE RIVER DR, FAIRPLAY, CO 80440
(719) 839-0130
Mailing address
PO BOX 2053, FAIRPLAY, CO 80440-2053
(719) 839-0130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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