| Doctor Name: | DENISE ROTHMAN |
| NPI Number: | 1124493093 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00540600 |
| Business Practice Address: | 115 Route 46 W Suite B - 11 Mountain Lakes, NJ - 070461668 |
| Business Phone Number: | 9738680586 |
| Business Fax Number: | 9736258956 |
| Mailing Address: | Po Box 211, MOUNT TABOR |
| State: | NJ |
| Postal Code: | 078780211 |
| Phone Number: | 9738680586 |
| Fax Number: | 9736258956 |
| NPI Enumeration Date: | 12/03/2015 |
| NPI Last Update Date: | 12/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00540600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |