MEDICARE: JUDITH LINDNER ROSENTHAL PHD

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
1	103T00000X	Psychologist	3399	OH

General Provider Information

NPI Number	:	1285695239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH LINDNER ROSENTHAL PHD

Provider Business Mailing Address
First Line	:	2725 ABINGTON RD
Second Line	:	SUITE 103B
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-4057
Country	:	US
Telephone Number	:	330-664-9064
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 ABINGTON RD
Second Line	:	SUITE 103B
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-4057
Country	:	US
Telephone Number	:	330-664-9064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	04/12/2026

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