Individual
DR. HOLLY ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10059 PALISADES DR STE 4, TRUCKEE, CA 96161-1945
(530) 582-8822
(530) 582-5474
Mailing address
10150 KLONDIKE FLAT RD, TRUCKEE, CA 96161-2831
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 16828
CA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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