Individual
DR. JODY K ROTBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W. , PSY.D.
Contact information
Practice address
420 LAKE COOK RD STE 113, DEERFIELD, IL 60015
(847) 323-8189
Mailing address
420 LAKE COOK RD STE 113, DEERFIELD, IL 60015-4914
(847) 323-8189
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008109
IL
1041C0700X
Clinical Social Worker
149003472
IL
Other
Enumeration date
04/19/2007
Last updated
06/27/2018
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