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Individual

DR. BEANNE O'NEILL ROTHENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
895 AURORA AVE, BOULDER, CO 80302-7109
(315) 882-3371
Mailing address
895 AURORA AVE, BOULDER, CO 80302-7109
(315) 882-3371

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
011228-1
NY
103TC0700X
Clinical Psychologist
Primary
3613
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3613
PROFESSIONAL LICENSE
CO
Enumeration date
06/25/2006
Last updated
01/23/2014
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