Carole R Roth, PH.D., CCC, BC-ANCDS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 3455 Issued in CA

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-7086

Phone

(619) 532-9600

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carole R Roth-Abramson Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1659449866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 FRONT ST UNIT 1305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017086",
            "telephone_number": "858-395-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921347086",
            "telephone_number": "619-532-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "CAROLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC, BC-ANCDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 3455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carole.r.roth-abramson.civ@mail.mil",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "34800 Bob Wilson Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921347086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "ROTH-ABRAMSON",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "PH.D., CCC, BC-ANCDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Silvina Rostro
• Lindsay Rotblatt, PHD
• Ranieri Anthony Rotelli
• Katherine Rotenkolber
• Linda Carol Rotert-Garduno, MFT
• David M Roth, MD
• Dennis Michael Roth, MD
• Eric Roth
• Hallie Roth, LCSW
• Justin Roth, PHARMD

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.