Individual provider · Type 1 NPI

Kristiansson Roth, PhD

Psychologist · Cordele, GA

NPI number 1205050283 Active

Practice location

304 E 14th Ave
Cordele, GA 31015-1423

Fax (229) 273-7391

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY002706 (GA)

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…

About NPI 1205050283

Kristiansson Roth, PhD's National Provider Identifier is 1205050283, issued on Apr 12, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Cordele, GA. The record was last updated on Jul 8, 2007.