Organization
J.B. ROTH AND ASSOC. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB B. ROTH PH.D. (PRESIDENT)
(240) 687-0857
Entity
Organization
Contact information
Practice address
2110 PRIEST BRIDGE DR STE 4, CROFTON, MD 21114-2472
(443) 584-3808
Mailing address
111 KENT OAKS MEWS, GAITHERSBURG, MD 20878-5672
(240) 687-0857
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
12/14/2020
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