Individual
BARBARA LEE ROTHWEILER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3200 WESTHILL DR, STE 101, WAUSAU, WI 54401-4705
(715) 847-2019
(715) 847-2669
Mailing address
3200 WESTHILL DR, STE 101, WAUSAU, WI 54401-4705
(715) 847-2019
(715) 847-2669
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2022
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186440
DEPT LABOR & INDUST
WA
01
—
32757000
WISCONCARE
WI
05
—
39119400
—
WI
01
—
391633557 0002
CISNA TN
TN
01
—
49480
SECURITY HEALTH PLAN
WI
01
—
P12027309
WPPN MULTIPLAN
WI
Enumeration date
08/02/2005
Last updated
07/08/2007
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