IndividualActive
Andrew Roth, PH.D.
NPI 1013055649 · Clinical Psychologist · Montclair, NJ
Provider details
- NPI number
- 1013055649
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35SI00375000 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
55 Park St
Montclair, NJ 07042-3439
Phone: (973) 378-5641
Fax: (973) 762-0045
Approximate (ZIP-level) locationGet directions
Mailing address
24 Harrison Ct
South Orange, NJ 07079-2409
Registry dates
- Enumerated
- 2007-02-04
- Last updated
- 2019-12-10
- Certified
- 2019-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.