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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184271025

John D Roth Jr. is a Student in an Organized Health Care Education/Training Program in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2019.

Licensed in
CT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

101 S St
West Hartford, CT 06110-1967
Phone: (860) 578-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14361292 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184271025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020

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