Active NPIOrganization

Allen Roth Educational And Psychological Services

Psychologist, Clinical in Montclair, New Jersey

NPI Number1790034072
Practice location
36 Park St, Montclair, NJ 07042-3440
Fax
973-762-0045
Last updated
September 2, 2012

Allen Roth Educational And Psychological Services is a healthcare organization based in Montclair, NJ. Allen Roth Educational And Psychological Services practices in Montclair, NJ. The NPI Number for Allen Roth Educational And Psychological Services is 1790034072 and holds a License No. 35SI00375000 (NJ). The current practice location address for Allen Roth Educational And Psychological Services is 36 Park St, Montclair, NJ 07042-3440 and can be reached out via phone at 973-378-5641 and via fax at 973-762-0045.

Provider Profile Details

NPI Number
1790034072
Provider Name
Allen Roth Educational And Psychological Services
Provider Entity Type
Organization
Address
36 Park St, Montclair, NJ 07042-3440
Phone Number
973-378-5641
Fax Number
973-762-0045
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Andrew Roth, PHD · Practitioner/General Partner · 973-378-5641
Provider Enumeration Date
September 2, 2012
Last Update Date
September 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Park St
Montclair, NJ 07042-3440
Zip
07042-3440
Phone Number
973-378-5641
Fax Number
973-762-0045
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
36 Park St
Montclair, NJ 07042-3440
City
Montclair
State
NJ
Zip
07042-3440
Phone Number
973-378-5641
Fax Number
973-762-0045

License Information

License Number
35SI00375000
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Allen Roth Educational And Psychological Services?

The NPI number of Allen Roth Educational And Psychological Services is 1790034072. It was assigned on September 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Allen Roth Educational And Psychological Services?

Allen Roth Educational And Psychological Services is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00375000.

Where does Allen Roth Educational And Psychological Services practice?

The practice location is 36 Park St, Montclair, NJ 07042-3440. The office can be reached at 973-378-5641 (phone) or 973-762-0045 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790034072 directly on the NPPES registry website.

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