Active NPIIndividual provider

Amy E Roth, MS, CCC-SLP

Speech-Language Pathologist, in Orange, Connecticut

NPI Number1790201499
Practice location
308 Racebrook Road, Orange, CT 06477
Fax
—
Last updated
October 22, 2020

Amy Elise Roth is a Speech-Language Pathologist, based in Orange, CT. Amy Elise Roth practices in Orange, CT and has the professional credentials of MS, CCC-SLP. The NPI Number for Amy Elise Roth is 1790201499 and holds a License No. 005650 (CT). The current practice location address for Amy Elise Roth is 308 Racebrook Road, Orange, CT 06477 and can be reached out via phone at 203-920-1885.

Provider Profile Details

NPI Number
1790201499
Provider Name
Amy Elise Roth
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
308 Racebrook Road, Orange, CT 06477
Phone Number
203-920-1885
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2017
Last Update Date
October 22, 2020
Certification Date
October 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
308 Racebrook Road
Orange, CT 06477
City
Orange
Zip
06477
Phone Number
203-920-1885
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
615 Central Ave Apt 3
New Haven, CT 06515-2124
City
New Haven
State
CT
Zip
06515-2124
Phone Number
203-314-5349

License Information

License Number (2)
005650
License State (2)
CT
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · 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 Amy E Roth, MS, CCC-SLP?

The NPI number of Amy E Roth, MS, CCC-SLP is 1790201499. It was assigned on August 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Amy E Roth, MS, CCC-SLP?

Amy E Roth, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 005650.

Where does Amy E Roth, MS, CCC-SLP practice?

The practice location is 308 Racebrook Road, Orange, CT 06477. The office can be reached at 203-920-1885 (phone).

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 1790201499 directly on the NPPES registry website.

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