Individual provider · Type 1 NPI
Mark R. Roth, PhD, HSPP
Clinical Psychologist · Indianapolis, IN
Practice location
333 N Alabama St, Suite 350
Indianapolis, IN 46204-2034
Mailing address
4000 W 106th St, Ste 125-125
Carmel, IN 46032-7720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 20010291 (IN) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1881638690
Mark R. Roth, PhD, HSPP's National Provider Identifier is 1881638690, issued on Jun 15, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 24, 2014.