DONALD NORMAN ROTH

ELM GROVE, WI
NPI1336224989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WI  2724-57)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  7902-33)
Enumeration Date2006-10-25
Last Update Date2022-11-30
Business Address
DONALD NORMAN ROTH Psy. D., APNP
13500 WATERTOWN PLANK ROAD
ELM GROVE, WI 53122-2222
Phone number: 847-340-5785
Mailing Address
DONALD NORMAN ROTH Psy. D., APNP
2630 9TH AVENUE
SOUTH MILWAUKEE, WI 53172-3216
Phone number: 847-340-5785