Doctor Name: | MRS. PATRICIA S SULICHIN ROTSZTAIN |
NPI Number: | 1003131145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH10019 |
Business Practice Address: | 2385 Nw Executive Center Dr Ste 100 Boca Raton, FL - 334318510 |
Business Phone Number: | 7862519513 |
Business Fax Number: | |
Mailing Address: | 3400 Ne 192nd St Ph Lp4, AVENTURA |
State: | FL |
Postal Code: | 331802460 |
Phone Number: | 7862519513 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2010 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH10019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |