Roth, Jonathan

Roth, Jonathan is an sole proprietor health care provider with primary practice located at 122 W Court St , Ithaca NY 14850. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Roth, Jonathan can be contacted via phone (607) 275-5965.

Contact Information

Primary practice address
122 W Court St Ithaca NY 14850
Phone: (607) 275-5965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 86401 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005266 New York

Profile Details

NPI number 1366565913
LBN Legal business name Roth, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Sep 4th, 2018 - about 6 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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