Individual
ADAM ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
21403 CHAGRIN BLVD, 210, BEACHWOOD, OH 44122-5322
(216) 225-8376
Mailing address
2636 MILTON RD, UNIVERSITY HEIGHTS, OH 44118-4616
(216) 225-8376
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6920
OH
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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