Roth, Randy Scott

Roth, Randy Scott is an individual health care provider with primary practice located at 325 E Eisenhower Pkwy , Ann Arbor MI 48108-3364. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Roth, Randy Scott can be contacted via phone (734) 936-7175.

Contact Information

Primary practice address
325 E Eisenhower Pkwy Ann Arbor MI 48108-3364
Phone: (734) 936-7175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 6301005458 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301005458 Michigan

Profile Details

NPI number 1093892622
LBN Legal business name Roth, Randy Scott
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 11th, 2019 - about 7 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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