Individual
REBECCA ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1324 S CEDAR ST, CASPER, WY 82601-3528
(720) 933-0417
Mailing address
1324 S CEDAR ST, CASPER, WY 82601-3528
(720) 933-0417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69657726
—
CO
Enumeration date
04/18/2007
Last updated
07/12/2014
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