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Dr. Kenneth Michael Rothman, D,ED
Health Service Psychologist in Jupiter, Florida
NPI 1134129307

Kenneth Michael Rothman is a Health Service Psychologist based in Jupiter, FL and is specialized in Health Service. Kenneth Michael Rothman practices in Jupiter, FL and has the professional credentials of D,ED. The NPI Number for Kenneth Michael Rothman is 1134129307 and holds a License No. PY2560 (Florida).

The current practice location address for Kenneth Michael Rothman is 1061 E Indiantown Rd, Jupiter, FL and can be reached out via phone at 561-575-0323 and via fax at 561-575-0323. You can also correspond with Kenneth Michael Rothman through the mailing address at 1061 E INDIANTOWN RD, JUPITER, FL - 33477-5104 (mailing address contact number: 561-575-0323).

Location: 1061 E Indiantown Rd, Jupiter, FL, 33477-5104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134129307
Provider Name
Kenneth Michael Rothman
Credential
D,ED
Provider Entity Type
Individual
Gender
Male
Address
1061 E Indiantown Rd, Jupiter, FL, 33477-5104
Phone Number
561-575-0323
Fax Number
561-575-0323
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73738 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
1061 E Indiantown Rd
City
Jupiter
State
Florida
Zip
33477-5104
Phone Number
561-575-0323
Fax Number
561-575-0323
person
Provider Business Mailing Address Details
Address
1061 E Indiantown Rd
City
Jupiter
State
Florida
Zip
33477-5104
Phone Number
561-575-0323
Fax Number
561-575-0323
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PY2560 (Florida)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
PY2560 (Florida)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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