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Organization

DR. MARK ROTH AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK R ROTH PH.D. (CLINICAL PSYCHOLOGIST)
(317) 459-6755
Entity
Organization

Contact information

Practice address
333 N ALABAMA ST STE 350, INDIANAPOLIS, IN 46204-2275
(317) 459-6755
(317) 296-7207
Mailing address
2984 CAMEO DR, CARMEL, IN 46032-9313
(317) 459-6755
(317) 296-7207

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/24/2023
Last updated
07/24/2023
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