Individual
MS. CHERYL DIANE ROTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCSP
Contact information
Practice address
3880 IRON CANYON CIR, STOCKTON, CA 95209-3612
(209) 953-9437
Mailing address
1305 E VINE ST, LODI, CA 95240-3179
(209) 331-7085
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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