Alexandra Jade Roth
Art Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1346830395
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1346830395
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Jade Roth
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2021
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 221700000X | Art Therapist | – | – | Yes |
Practice location
162 Court StBrooklyn, NY 11201-6445
Phone 215-964-8034
Mailing address
1719 Himrod St Apt 2rRidgewood, NY 11385-1479
Phone 215-964-8034
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All 227 Art Therapist providers in Brooklyn · All 80,721 providers in Brooklyn
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