Individual
DR. RALPH ROTHSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 EDWARD ST, WORCESTER, MA 01605-2946
(508) 757-3612
(508) 753-4465
Mailing address
175 FLAGG ST, WORCESTER, MA 01609-1258
(508) 752-3612
(508) 753-4465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
313
MA
Other
Enumeration date
12/04/2006
Last updated
12/05/2011
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