Individual
LISA ROTHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
842 N HIGHLAND AVE NE, SUITE 275, ATLANTA, GA 30306-4530
(404) 575-4000
(404) 575-4010
Mailing address
6627 GUNSTOCK LN, TUCKER, GA 30084-1436
(404) 575-4000
(404) 575-4010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004187
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098232599A
—
GA
Enumeration date
01/05/2006
Last updated
12/21/2010
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