| Doctor Name: | MS. ADRIENNE LEE ROTH |
| NPI Number: | 1205055563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SA 485 |
| Business Practice Address: | 4284 Sw 161st Pl Miami, FL - 331853826 |
| Business Phone Number: | 3053898183 |
| Business Fax Number: | 3052286251 |
| Mailing Address: | 2115 Ne 197 Terrace, MIAMI |
| State: | FL |
| Postal Code: | 33179 |
| Phone Number: | 3053898183 |
| Fax Number: | 3052286251 |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |