Mark Roth, PHD, HSPP

NPI 1881638690 · on the registry since 2006

Practice

Address: 333 N Alabama St
Suite 350
Indianapolis, IN 46204
Phone: (317) 459-6755
Organisation at this address: Dtg Ii Pllc
Lw Care Llc
B Above Aba
Caregive Llc
Livassist Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana