Individual
DR. CAROLE R ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCC, BC-ANCDS
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-7086
(619) 532-9600
Mailing address
645 FRONT ST UNIT 1305, SAN DIEGO, CA 92101-7086
(858) 395-2676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 3455
CA
Other
Enumeration date
12/04/2006
Last updated
07/28/2021
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