Individual provider · Type 1 NPI

Jill Roth, PSYD

Psychologist · Deland, FL

NPI number 1962112102 Active

Practice location

134 Old Moss Cir
Deland, FL 32724-7820

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1822 (AL)

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 1962112102

Jill Roth, PSYD's National Provider Identifier is 1962112102, issued on Nov 29, 2022. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Deland, FL. The record was last updated on Nov 29, 2022.