Individual provider · Type 1 NPI

Jena Elizabeth Roth, B.S.

Developmental Therapist · Somerville, MA

NPI number 1023334182 Active

Practice location

120 School St, Apt #5
Somerville, MA 02143-1745

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1023334182

Jena Elizabeth Roth, B.S.'s National Provider Identifier is 1023334182, issued on Apr 14, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Somerville, MA. The record was last updated on Apr 9, 2011.