RANDY SCOTT ROTH

ANN ARBOR, MI
NPI1093892622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MI  6301005458)
Additional Taxonomies103TR0400X Psychologist Rehabilitation
(Licence: MI  6301005458)
Enumeration Date2006-11-01
Last Update Date2019-11-11
Business Address
RANDY SCOTT ROTH PHD
325 E EISENHOWER PKWY
ANN ARBOR, MI 48108-3364
Phone number: 734-936-7175
Mailing Address
RANDY SCOTT ROTH PHD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299