Individual
JACQUELINE KAY ROTHMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
561 WEST CENTRAL AVENUE, DELAWARE, OH 43015
(740) 369-2125
Mailing address
561 WEST CENTRAL AVENUE, DELAWARE, OH 43015
(740) 369-2125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451425
—
OH
Enumeration date
04/06/2006
Last updated
07/08/2007
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