person
Dr. Heidi Ann Roth, PHD
Professional Counselor in Bloomington, Indiana
NPI 1558518555

Heidi Ann Roth is a Professional Counselor based in Bloomington, IN and is specialized in Professional. Heidi Ann Roth practices in Bloomington, IN and has the professional credentials of PHD. The NPI Number for Heidi Ann Roth is 1558518555 and holds a License No. 1926 (Indiana).

The current practice location address for Heidi Ann Roth is 1441 S Fenbrook Ln, Bloomington, IN and can be reached out via phone at 812-606-9996. You can also correspond with Heidi Ann Roth through the mailing address at 3709 E TAYLOR CT, BLOOMINGTON, IN - 47401-4464 (mailing address contact number: 812-606-9996).

Location: 1441 S Fenbrook Ln, Bloomington, IN, 47401-4464
person
Provider Profile Details
NPI Number
1558518555
Provider Name
Heidi Ann Roth
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1441 S Fenbrook Ln, Bloomington, IN, 47401-4464
Phone Number
812-606-9996
Fax Number
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1441 S Fenbrook Ln
City
State
Zip
47401-4176
Phone Number
812-606-9996
Fax Number
person
Provider Business Mailing Address Details
Address
1441 S Fenbrook Ln
City
State
Zip
47401-4176
Phone Number
812-606-9996
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1926 (Colorado)
Definition
Definition to come...
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