Mark R Roth is a Clinical in Carmel, Indiana. Mark R Roth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark R Roth is 1881638690. The last update date is 2014-11-24.
Mark R Roth's current location address is 4000 W 106th St, Carmel, Indiana. You can contact this provider via phone number 3174596755. The mailing address for Mark R Roth is 4000 W 106th St, Carmel, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Roth |
|---|---|
| Address | 4000 W 106th St, Carmel, Indiana |
| Phone Number | 3174596755 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD, HSPP |
NPI Number Detail
| NPI Number | 1881638690 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2014-11-24 |
Provider Mailing Address Detail
| Address | 4000 W 106th St |
|---|---|
| City | Carmel |
| State | Indiana (IN) |
| Post Code | 460327720 |
| Phone Number | 3174596755 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20010291 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200045300 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark R Roth by the Centers for Medicare & Medicaid Services?
The Mark R Roth has been assigned the NPI (National Provider Identifier) 1881638690. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark R Roth?
The Mark R Roth is physically situated at 4000 W 106Th St, in the city of Carmel, state of IN, with the postal code 460327720.
What is Mark R Roth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark R Roth is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Mark R Roth receive its 1881638690 assignment?
The Mark R Roth was assigned its 1881638690 on 2006-06-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Mark R Roth most recently updated or refreshed?
The details pertaining to the Mark R Roth, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-11-24.