| Doctor Name: | MS. LAURA ROTH |
| NPI Number: | 1528368115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, BCBA |
| License Number: | 44SC00476300 |
| Business Practice Address: | 278 N Union St Suite 112 Lambertville, NJ - 085301506 |
| Business Phone Number: | 2158621315 |
| Business Fax Number: | 9999999999 |
| Mailing Address: | 236 Riverwoods Dr, NEW HOPE |
| State: | PA |
| Postal Code: | 189382246 |
| Phone Number: | 2158621315 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2010 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC00476300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |