| Doctor Name: | PROF. EDWARD A. ROTH |
| NPI Number: | 1669682563 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NMT, MT-BC |
| License Number: | |
| Business Practice Address: | 3415 Iroquois Trl Kalamazoo, MI - 490062032 |
| Business Phone Number: | 2693730426 |
| Business Fax Number: | |
| Mailing Address: | 3415 Iroquois Trl, KALAMAZOO |
| State: | MI |
| Postal Code: | 490062032 |
| Phone Number: | 2693730426 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225A00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Music Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |