Provider Demographics
NPI:1285852103
Name:ROTHSTEIN, JEAN COFSKY (MS)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:COFSKY
Last Name:ROTHSTEIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 BRENTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5520
Mailing Address - Country:US
Mailing Address - Phone:610-446-7755
Mailing Address - Fax:
Practice Address - Street 1:220 BRENTWOOD RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5520
Practice Address - Country:US
Practice Address - Phone:610-446-7755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000321L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist