Individual
SUSAN M ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Mailing address
2900 MAIN ST, SUITE 1D, STRATFORD, CT 06614-4946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001931
CT
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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