Doctor Name: | JOSEPH A. ROTHSTEIN |
NPI Number: | 1104947373 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | 12842 |
Business Practice Address: | 1933 12th St Apt. A Santa Monica, CA - 904044649 |
Business Phone Number: | 3104875142 |
Business Fax Number: | 3103992264 |
Mailing Address: | 1247 Lincoln Blvd, #284 SANTA MONICA |
State: | CA |
Postal Code: | 904011703 |
Phone Number: | 3104875142 |
Fax Number: | 3103992264 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |