Individual
DR. BETH L ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 CARLISLE BLVD NE, STE. A, ALBUQUERQUE, NM 87110-5658
(505) 255-5835
(505) 841-6758
Mailing address
1400 CARLISLE BLVD NE, STE. A, ALBUQUERQUE, NM 87110-5658
(505) 255-5835
(505) 841-6758
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
695
NM
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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