| NPI | 1790034072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ROTH Practitioner/General Partner 973-378-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00375000) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2012-09-02 |