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Individual

RICHARD IAN ROTHENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
7162 READING RD, SUITE 500, CINCINNATI, OH 45237-3838
(513) 761-6222
(513) 679-4590
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6965
OH
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Enumeration date
01/14/2010
Last updated
02/07/2018
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