Individual provider · Type 1 NPI

Kathryn Ann Roth

Psychologist · Minneapolis, MN

NPI number 1124143441 Active

Practice location

2450 Riverside Ave, F196
Minneapolis, MN 55454-1450

Mailing address

10040 Johnson Ave S
Bloomington, MN 55437-2444

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X2903 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1124143441

Kathryn Ann Roth's National Provider Identifier is 1124143441, issued on Mar 20, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.