MARK R ROTH

INDIANAPOLIS, IN
NPI1881638690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IN  20010291)
Enumeration Date2006-06-15
Last Update Date2014-11-24
Business Address
-- MARK R ROTH PHD, HSPP
333 N ALABAMA ST SUITE 350
INDIANAPOLIS, IN 46204-2034
Phone number: 317-459-6755
Mailing Address
-- MARK R ROTH PHD, HSPP
4000 W 106TH ST STE 125-125
CARMEL, IN 46032-7720
Phone number: 317-459-6755