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NPI Profile for KEVIN H ROTH in BRYN ATHYN, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1831123322 |
|
| Status | Active | |
| Credentials | LMFT,CAC | |
| Entity | Individual | |
| Enumeration date | 07/10/2006 | |
| Last updated | 06/16/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KEVIN H ROTH
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KEVIN H ROTH, LMFT,CAC