Individual
JENNIFER ROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MOUNT EBO RD S, BREWSTER, NY 10509-4004
(845) 878-9078
Mailing address
104 LAKESHORE DR E, CARMEL, NY 10512-6017
(845) 721-6129
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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