Doctor Name: | MR. WILLIAM CARL ROTH |
NPI Number: | 1053527333 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | CW014768 |
Business Practice Address: | 400 N Broad St Lansdale, PA - 194462414 |
Business Phone Number: | 2153682022 |
Business Fax Number: | 2158556454 |
Mailing Address: | 88 Oak Ave, CHALFONT |
State: | PA |
Postal Code: | 189142806 |
Phone Number: | 2153682022 |
Fax Number: | 2158556454 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |