Individual provider · Type 1 NPI
Samuel J. Roth, PhD
Psychologist · Grand Rapids, MI
Practice location
1550 East Beltline SE, Suite 340
Grand Rapids, MI 49506
Fax (616) 831-2001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 6301006951 (MI) |
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 1992866735
Samuel J. Roth, PhD's National Provider Identifier is 1992866735, issued on Dec 13, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.