Provider Demographics
NPI:1457487431
Name:ROTHFELD, LOUISE (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:
Last Name:ROTHFELD
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:DIDDY
Other - Middle Name:
Other - Last Name:ROTHFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:174 SOUTHARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2616
Mailing Address - Country:US
Mailing Address - Phone:516-764-6170
Mailing Address - Fax:516-764-7649
Practice Address - Street 1:174 SOUTHARD AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-2616
Practice Address - Country:US
Practice Address - Phone:516-764-6170
Practice Address - Fax:516-764-7649
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1862235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist