| Doctor Name: | MS. NALDA BRODEGAARD ROTHE |
| NPI Number: | 1063696037 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 242133-1 |
| Business Practice Address: | 3 Apaucuck Cove Ln Westhampton, NY - 119771537 |
| Business Phone Number: | 9177480644 |
| Business Fax Number: | 6312882641 |
| Mailing Address: | 3 Apaucuck Cove Ln, WESTHAMPTON |
| State: | NY |
| Postal Code: | 119771537 |
| Phone Number: | 9177480644 |
| Fax Number: | 6312882641 |
| NPI Enumeration Date: | 12/26/2007 |
| NPI Last Update Date: | 01/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 242133-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |