Dr. Mark Roth And Associates
Psychologist in Indianapolis, IN. Organization (NPI-2).
NPI number1689354573
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1689354573
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Mark Roth And Associates
- Organization subpart
- No
- Enumeration date
- Jul 24, 2023
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
333 N Alabama St Ste 350Indianapolis, IN 46204-2275
Phone 317-459-6755 · Fax 317-296-7207
Mailing address
2984 Cameo DrCarmel, IN 46032-9313
Phone 317-459-6755 · Fax 317-296-7207
Authorized official
Mark R Roth
Clinical Psychologist
3174596755
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