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Individual

ELAINE RUTH ROTENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5841 CORPORATE WAY, SUITE 200, WEST PALM BEACH, FL 33407-2039
(561) 684-1991
(561) 684-8582
Mailing address
5841 CORPORATE WAY, SUITE 200, WEST PALM BEACH, FL 33407-2039
(561) 684-1991
(561) 684-8582

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4904
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PY4904
LICENSED CLINICAL PSYCH.
FL
Enumeration date
11/15/2005
Last updated
11/05/2010
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