Individual
DR. KENNETH MICHAEL ROTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,ED.
Contact information
Practice address
1061 E INDIANTOWN RD, SUITE 311, JUPITER, FL 33477-5104
(561) 575-0323
(561) 575-0323
Mailing address
1061 E INDIANTOWN RD, SUITE 311, JUPITER, FL 33477-5104
(561) 575-0323
(561) 575-0323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2560
FL
103TH0100X
Health Service Psychologist
PY2560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73738
BCBS
FL
Enumeration date
07/28/2005
Last updated
08/09/2007
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