Roth, Jennifer
Roth, Jennifer is an individual health care provider with primary practice located at 4801 Veterans Dr , Saint Cloud MN 56303-2015. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roth, Jennifer can be contacted via phone (320) 252-1670.Contact Information
Primary practice address
4801 Veterans Dr
Saint Cloud MN 56303-2015
Phone: (320) 252-1670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP6249 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1841735107 |
|---|---|
| LBN Legal business name | Roth, Jennifer |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2016 |
| Last updated | Dec 29th, 2025 - about last year |
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.
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