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Jeffrey Roth, PHDPSYCHOLOGY
Mental Health Counselor in Wilmington, Delaware
NPI 1598886558

Jeffrey Roth is a Mental Health Counselor based in Wilmington, DE and is specialized in Mental Health. Jeffrey Roth practices in Wilmington, DE and has the professional credentials of PHDPSYCHOLOGY. The NPI Number for Jeffrey Roth is 1598886558 and holds a License No. B1-0000251 (Delaware).

The current practice location address for Jeffrey Roth is 240 N James St, Wilmington, DE and can be reached out via phone at 302-633-0301 and via fax at 302-633-0331.

Location: 240 N James St, Wilmington, DE, 19804-3169
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Provider Profile Details
NPI Number
1598886558
Provider Name
Jeffrey Roth
Credential
PHDPSYCHOLOGY
Provider Entity Type
Individual
Gender
Male
Address
240 N James St, Wilmington, DE, 19804-3169
Phone Number
302-633-0301
Fax Number
302-633-0331
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G02128T02 05 PA
0000342567 05 DE
institution
Provider Business Practice Location Address Details
Address
240 N James St
City
State
Zip
19804-3169
Phone Number
302-633-0301
Fax Number
302-633-0331
person
Provider Business Mailing Address Details
Address
240 N James St
City
State
Zip
19804-3169
Phone Number
302-633-0301
Fax Number
302-633-0331
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
B1-0000251 (Delaware)
Definition
Definition to come...
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