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NPI Code Detail

MEDICARE: JOSEPH A. ROTHSTEIN MS, CCC-SLP

MEDICARE:   JOSEPH A. ROTHSTEIN  MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist12842CA

General Provider Information

NPI Number : 1104947373
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH A. ROTHSTEIN MS, CCC-SLP
Provider Business Mailing Address
First Line : 1247 LINCOLN BLVD
Second Line : #284
City : SANTA MONICA
State : CA
Zip : 90401-1703
Country : US
Telephone Number : 310-487-5142
Fax Number : 310-399-2264
Provider Business Practice Location Address
First Line : 1933 12TH ST
Second Line : APT. A
City : SANTA MONICA
State : CA
Zip : 90404-4649
Country : US
Telephone Number : 310-487-5142
Fax Number : 310-399-2264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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Directions to “ JOSEPH A. ROTHSTEIN MS, CCC-SLP” Practice Location

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