Deborah Roth, M.S.ED.

NPI #1366815151 in Southold, New York

Provider Information

NPI Number: 1366815151
Entity Type: Individual
Name: Deborah Roth, M.S.ED.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: M.S.ED.
Enumeration Date: Nov 3, 2015
Last Updated: Nov 3, 2015

Practice Location

Address: 845 COREY CREEK LN
City: Southold
State: New York
ZIP Code: 11971-4867
Phone: (860) 966-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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