Individual
JOEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(453) 538-8711
Mailing address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(453) 538-8711
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER-122245-Y1P9T5
MD
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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