MEDICARE: MRS. JAIME PAIGE ROTHMAN L.P.C

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	101YP2500X	Professional Counselor	PC006446	PA

General Provider Information

NPI Number	:	1881931269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAIME PAIGE ROTHMAN L.P.C

Provider Business Mailing Address
First Line	:	955 EASTON RD
Second Line	:	APARTMENT K-128
City	:	WARRINGTON
State	:	PA
Zip	:	18976-1819
Country	:	US
Telephone Number	:	215-470-4018
Fax Number	:

Provider Business Practice Location Address
First Line	:	727 WELSH RD
Second Line	:	SUITE 202
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-6310
Country	:	US
Telephone Number	:	215-914-2119
Fax Number	:

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

Provider Enumeration Date	:	01/06/2013
Last Update Date	:	01/06/2013

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