Scott A. Roth, Psy.d., Llc | |
70 S Main St Suite 1a Cranbury NJ 08512-3140 | |
(609) 217-0973 | |
(609) 395-0886 |
Full Name | Scott A. Roth, Psy.d., Llc |
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Speciality | Psychologist |
Location | 70 S Main St, Cranbury, New Jersey |
Authorized Official Name and Position | Scott Aaron Roth (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6092170973 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scott A. Roth, Psy.d., Llc 70 S Main St Suite 1a Cranbury NJ 08512-3140 Ph: (609) 217-0973 | Scott A. Roth, Psy.d., Llc 70 S Main St Suite 1a Cranbury NJ 08512-3140 Ph: (609) 217-0973 |
NPI Number | 1205128188 |
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Provider Enumeration Date | 05/10/2011 |
Last Update Date | 05/10/2011 |
Medicare PECOS PAC ID | 4486832953 |
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Medicare Enrollment ID | O20110705000173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205128188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 35SI00466700 (New Jersey) | Primary |
Provider Name | Scott A Roth |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447484498 PECOS PAC ID: 1759569221 Enrollment ID: I20110705000165 |
Provider Name | Mason Shepherd |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558903005 PECOS PAC ID: 6800278862 Enrollment ID: I20220808001774 |
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