Male or Other

Mitchell Roth M.S, J.D., PSYD

Mental Health Counselor in Boynton Beach, FL(View on Map)

Full Name

Mitchell Roth M.S, J.D., PSYD

NPI Number

1760837470

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/01/2016

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH 14604

Contact
Information

Purpose

Mailing
Location

Address

11905 MONT LAKE DR
11905 MONT LAKE DR

City

Boynton Beach
Boynton Beach

State

FL
FL

Postal Code

33437-4918
33437-4918

Country

US
US

Telephone Number

(561) 740-5642
(561) 740-5642

Identifiers

Identifier

MH 14604

Identifier State

FL

Identifier Issuer

DEPARTMENT OF HEALTH

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

www.rothmentalhealth.com

Endpoint Description

website

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

200 Knuth Rd Ste 254Boynton Beach, FL334364637US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/05/2024

Provider Address

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