Doctor Name: | MRS. LINDA BUTTELMAN ROTOLO |
NPI Number: | 1053457051 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RLCSW |
License Number: | R0539571 |
Business Practice Address: | 44 Cannon Dr Holbrook, NY - 11741 |
Business Phone Number: | 6313385836 |
Business Fax Number: | |
Mailing Address: | 44 Cannon Drive, HOLBROOK |
State: | NY |
Postal Code: | 11741 |
Phone Number: | 6313385836 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R0539571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |