Individual
LORI L ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
14 RIDGEDALE AVE, SUITE 207, CEDAR KNOLLS, NJ 07927-1106
(973) 540-8884
(973) 540-8947
Mailing address
8 BEAVER RIDGE RD, MORRIS PLAINS, NJ 07950-1901
(973) 540-8884
(973) 540-8947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS000873
NJ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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