MEDICARE: DR. ROSEMARIE CLAIRE ROTHMEIER PH.D

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	103TC1900X	Counseling Psychologist	22494	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22494	OTHER	TX	TX STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS

General Provider Information

NPI Number	:	1316346901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSEMARIE CLAIRE ROTHMEIER PH.D

Provider Business Mailing Address
First Line	:	3549 BIG HORN TRL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-1730
Country	:	US
Telephone Number	:	214-534-6957
Fax Number	:

Provider Business Practice Location Address
First Line	:	3549 BIG HORN TRL
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-1730
Country	:	US
Telephone Number	:	214-534-6957
Fax Number	:

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

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	08/19/2014

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