NPI 1093571457

Susan Alexis von Roth, LMFT

Practitioner Marriage & Family Therapist Portland, ME

Practice location

Address: 30 Danforth St STE 311, Portland, ME 04101-4574
Phone: (207) 619-3356
Fax: (207) 300-6085
Mailing address: PO Box 8484, Portland, ME 04104-8484

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MF7402 (ME)

Other Marriage & Family Therapist providers in Maine →

Registry record

NPI: 1093571457
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2024
Record last updated: 23 Feb 2024

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.