John D Roth Jr.
John D Roth Jr. is a Student in an Organized Health Care Education/Training Program in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2019.
- Licensed in
- CT
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
West Hartford, CTNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 14361292 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1184271025 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 26, 2019 |
| Last updated in NPPES | October 12, 2020 |
| Certification date | October 12, 2020 |
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