Individual
MRS. MARGARET S. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
4025 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19104-3054
(215) 382-6680
Mailing address
1094 TINKERHILL RD, MALVERN, PA 19355-7603
(610) 935-7393
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000049
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27093
AAMFT IDENTIFICATION NUMB
PA
01
—
MF000049
MFT LICENSE NUMBER
PA
Enumeration date
06/26/2007
Last updated
07/08/2007
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