Organization
ALLEN ROTH EDUCATIONAL AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ROTH PH.D. (PRACTITIONER/GENERAL PARTNER)
(973) 378-5641
Entity
Organization
Contact information
Practice address
36 PARK ST, MONTCLAIR, NJ 07042-3440
(973) 378-5641
(973) 762-0045
Mailing address
36 PARK ST, MONTCLAIR, NJ 07042-3440
(973) 378-5641
(973) 762-0045
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00375000
NJ
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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