NPI 1013055649

Andrew Roth, PHD

Practitioner Clinical Psychologist Montclair, NJ

Practice location

Address: 55 Park St, Montclair, NJ 07042-3439
Phone: (973) 378-5641
Fax: (973) 762-0045
Mailing address: 24 Harrison CT, South Orange, NJ 07079-2409

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 35SI00375000 (NJ)

Other Psychologist providers in New Jersey →

Registry record

NPI: 1013055649
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2007
Record last updated: 10 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.