Individual
DR. REBECCA ROTHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1196
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
307547
LA
Other
Enumeration date
01/05/2012
Last updated
06/04/2021
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