Individual
ALLISON MARLA ROTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24 E 12TH ST RM 503, NEW YORK, NY 10003-4560
(917) 628-8516
Mailing address
100 W 12TH ST APT 4R, NEW YORK, NY 10011-8242
(917) 628-8516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018831-1
NY
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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