Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Amanda Marie Roth, PSYD

Individual provider Psychologist · NPI 1588334171

Dr. Amanda Marie Roth, PSYD is a Psychologist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

120 W 7th St
Bloomington, IN 47404-3834
Phone: (812) 929-4593
Fax: (812) 961-6551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20043515A (IN)

Record details

NPI number1588334171
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 15, 2021
Last updated in NPPESMay 6, 2023
Certification dateMay 6, 2023

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