| Roth Neuropsychology & Behavioral Health Assoc | |
|
2333 Knob Creek Rd Suite 11 Johnson City TN 37604-2007 | |
| (423) 952-0500 | |
| (423) 950-0005 |
| Full Name | Roth Neuropsychology & Behavioral Health Assoc |
|---|---|
| Speciality | Psychologist |
| Location | 2333 Knob Creek Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Robert Eric Roth (OWNER) |
| Authorized Official Contact | 4239520500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roth Neuropsychology & Behavioral Health Assoc 2333 Knob Creek Rd Suite 11 Johnson City TN 37604-2007 Ph: (423) 952-0500 | Roth Neuropsychology & Behavioral Health Assoc 2333 Knob Creek Rd Suite 11 Johnson City TN 37604-2007 Ph: (423) 952-0500 |
| NPI Number | 1679593040 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4880670538 |
|---|---|
| Medicare Enrollment ID | O20040625000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679593040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Tennessee) | Primary |
| Provider Name | Leah E Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124015771 PECOS PAC ID: 0749266286 Enrollment ID: I20040625000873 |
| Provider Name | Joseph K Neumann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194876490 PECOS PAC ID: 9133104433 Enrollment ID: I20040702001195 |
| Provider Name | Robert E Roth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992792519 PECOS PAC ID: 8022094507 Enrollment ID: I20040831000399 |
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