Kristiansson Roth PC

NPI #1649503327 in Saint Marys, Georgia

Provider Information

NPI Number: 1649503327
Entity Type: Organization
Organization Name: Kristiansson Roth PC
Primary Specialty: Psychologist
Enumeration Date: Sep 11, 2009
Last Updated: Sep 11, 2009

Practice Location

Address: 4445 HWY 40
Address 2: SATURDAY PARK 503
City: Saint Marys
State: Georgia
ZIP Code: 31558-4099
Phone: (912) 409-9879

Authorized Official

Name: DR. KRISTIANSSON ROTH, PHD
Title: DOCTOR
Phone: (912) 409-9879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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