Roth, Marc

Roth, Marc is an individual health care provider with primary practice located at 1930 W Lincoln Ave , Goshen IN 46526-5907. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Roth, Marc can be contacted via phone (574) 534-2161.

Contact Information

Primary practice address
1930 W Lincoln Ave Goshen IN 46526-5907
Phone: (574) 534-2161
Fax: (574) 534-3887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001276A Indiana

Profile Details

NPI number 1184613028
LBN Legal business name Roth, Marc
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 18th, 2012 - about 13 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