Individual provider · Type 1 NPI

Genevieve Roth

Psychologist · Detroit, MI

NPI number 1629933577 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

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 1629933577

Genevieve Roth's National Provider Identifier is 1629933577, issued on Dec 22, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 22, 2025.