Individual
DR. DAVID ROETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
310 N MIDVALE BLVD STE 202, MADISON, WI 53705-3265
(608) 280-6486
(608) 238-1929
Mailing address
310 N MIDVALE BLVD STE 202, MADISON, WI 53705-3265
(608) 280-6486
(608) 238-1929
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1360
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39194800
—
WI
Enumeration date
12/01/2006
Last updated
07/09/2007
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