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Contact Information

AMY E ROTH, M.S., CCC-SLP
308 RACEBROOK ROAD
ORANGE, CT06477
 Phone: 203-920-1885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for AMY E ROTH · (Female)

NPI # 1790201499
Status Active
Credentials M.S., CCC-SLP
Entity Individual
Enumeration date 08/15/2017
Last updated 10/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 005650
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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