Individual
STEPHANIE ROTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1513 PHEASANT DR, PETALUMA, CA 94954-4467
(707) 332-6452
Mailing address
1513 PHEASANT DR, PETALUMA, CA 94954-4467
(707) 332-6452
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
33112
CA
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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