Individual
DR. MICHAEL TYLER ROTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1549 CLAIRMONT RD, SUITE 108, DECATUR, GA 30033-4639
(404) 626-6084
Mailing address
1549 CLAIRMONT RD., SUITE 108, DECATUR, GA 30033-4636
(404) 626-6084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003663
GA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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