| Doctor Name: | LORI L ROTH |
| NPI Number: | 1952422230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,CCC-SLP |
| License Number: | YS000873 |
| Business Practice Address: | 14 Ridgedale Ave Suite 207 Cedar Knolls, NJ - 079271106 |
| Business Phone Number: | 9735408884 |
| Business Fax Number: | 9735408947 |
| Mailing Address: | 8 Beaver Ridge Rd, MORRIS PLAINS |
| State: | NJ |
| Postal Code: | 079501901 |
| Phone Number: | 9735408884 |
| Fax Number: | 9735408947 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | YS000873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |