Provider Demographics
NPI:1881746519
Name:ROTHSTEIN, CARY S (PHD)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:S
Last Name:ROTHSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:CARY
Other - Middle Name:S
Other - Last Name:ROTHSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:22 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4252
Mailing Address - Country:US
Mailing Address - Phone:215-345-5580
Mailing Address - Fax:
Practice Address - Street 1:22 S CLINTON ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4252
Practice Address - Country:US
Practice Address - Phone:215-345-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003190L103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral