Individual
FAITH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 25TH ST, COLUMBUS, IN 47203-3239
(812) 314-2378
Mailing address
4610 25TH ST, COLUMBUS, IN 47203-3239
(812) 314-2378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008882A
IN
Other
Enumeration date
06/04/2021
Last updated
04/25/2025
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