Roth, Jacob B.

Roth, Jacob B. is an individual health care provider with primary practice located at 2110 Priest Bridge Dr Suite 4, Crofton MD 21114-2472. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Roth, Jacob B. can be contacted via phone (301) 858-9880.

Contact Information

Primary practice address
2110 Priest Bridge Dr Suite 4 Crofton MD 21114-2472
Phone: (301) 858-9880
Fax: (410) 721-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1194 Maryland

Profile Details

NPI number 1326080730
LBN Legal business name Roth, Jacob B.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 3rd, 2014 - about 12 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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