Individual
DR. PETER JOHN ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
53 LANES POND RD, NORTHFORD, CT 06472-1125
(203) 484-4432
(203) 484-4707
Mailing address
53 LANES POND RD, NORTHFORD, CT 06472-1125
(203) 484-4432
(203) 484-4707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000526
CT
Other
Enumeration date
07/10/2006
Last updated
07/09/2007
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