Adam H Roth Phd LLC
Psychologist, Clinical in Beachwood, OH. Organization (NPI-2).
NPI number1669711875
StatusActive
Last updated in NPPESFeb 7, 2013
Details
- NPI
- 1669711875
- Entity type
- Organization (NPI-2)
- Legal business name
- Adam H Roth Phd LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2013
- Last updated
- Feb 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6920 | OH | Yes |
Practice location
21403 Chagrin Blvd#210
Beachwood, OH 44122-5322
Phone 216-225-8376
Mailing address
2636 Milton RdUniversity Heights, OH 44118-4616
Authorized official
Adam H Roth
Owner
2162258376
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