Roth, Bradley William

Roth, Bradley William is an sole proprietor health care provider with primary practice located at 57 Crestwood Rd , Milford CT 06460-6923. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Roth, Bradley William can be contacted via phone (203) 888-0462.

Contact Information

Primary practice address
57 Crestwood Rd Milford CT 06460-6923
Phone: (203) 888-0462
Fax: (203) 888-1465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 27.002034 Connecticut
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 27.002034 Connecticut

Profile Details

NPI number 1386114015
LBN Legal business name Roth, Bradley William
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2018
Last updated Sep 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers