Individual
TIMOTHY ROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2200 SW GAGE BLVD, C&P/B-1, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
500 SW HORNE ST, TOPEKA, KS 66606-1676
(785) 633-5824
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY4521
FL
103TC0700X
Clinical Psychologist
Primary
LP991
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP991
LICENSED PSYCHOLOGIST
KS
Enumeration date
04/26/2006
Last updated
07/12/2016
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