Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRISCILLA ROTH-WALL, PH.D.
Active Sole ProprietorPRISCILLA ROTH-WALL, PH.D. is a Clinical Psychologist healthcare provider located in FARMINGTON, New Mexico. NPI 1457386963 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FARMINGTON, NM
Registration Details
- NPI Number
- 1457386963
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2006 (20.090716245058 yrs)
- Last Updated
- Apr 30, 2020
- Licenses
-
PSY1470 (NM)PSY1470 (NM)PSY1470 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3751 N BUTLER AVE STE 115FARMINGTON, NM, 874016425Browse NM providers · Browse ZIP 87401
- Phone
- 5057872640
- Fax
- 5057872789
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Organizational & Business Psychologist
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| DR. TALYA STEINBERG | PSYD | 1700275682 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.