Individual
DR. JEFFREY H ROTHWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8888 LADUE RD, #120, SAINT LOUIS, MO 63124-2056
(314) 454-6069
(314) 726-6069
Mailing address
8888 LADUE RD, #120, SAINT LOUIS, MO 63124-2056
(314) 454-6069
(314) 726-6069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY01429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28436
BCBS
—
05
—
493318612
—
MO
01
—
6140900
UBH
—
Enumeration date
07/20/2006
Last updated
11/05/2021
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