Individual
ANDREA CATHERINE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017528
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285628552
AGENCY
NY
Enumeration date
09/20/2013
Last updated
10/21/2025
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