Individual
MS. ELLEN FAYE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
38 PARK ST, UNIT 9B, FLORHAM PARK, NJ 07932-1735
(973) 822-0251
(973) 822-0814
Mailing address
38 PARK ST, UNIT 9B, FLORHAM PARK, NJ 07932-1735
(973) 822-0251
(973) 822-0814
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01883
NJ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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