Roth, Andrew
Roth, Andrew is an sole proprietor health care provider with primary practice located at 55 Park St , Montclair NJ 07042-3439. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Roth, Andrew can be contacted via phone (973) 378-5641.Contact Information
Primary practice address
55 Park St
Montclair NJ 07042-3439
Phone: (973) 378-5641
Fax: (973) 762-0045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00375000 | New Jersey |
Profile Details
| NPI number | 1013055649 |
|---|---|
| LBN Legal business name | Roth, Andrew |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2007 |
| Last updated | Dec 10th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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