Individual
DR. CHARLES P ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
412 E KING ST, MALVERN, PA 19355-3004
(610) 647-8730
(610) 647-8921
Mailing address
412 E KING ST, MALVERN, PA 19355-3004
(610) 647-8730
(610) 647-8921
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-004849-L
PA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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