Justin Roth's National Provider Identifier (NPI) Details
Justin Roth, LCSW
NPI: 1790096626
Enumeration Date: 2010-06-25
Last updated: 2016-03-23
Sole Proprietor: YES
Status: active
Postal Address: 550 N REO ST, SUITE 300, TAMPA, FL
Phone: 303-817-8953
Primary Practice Address: 550 N REO ST, SUITE 300, TAMPA, FL
Practice's phone: 303-817-8953