Provider Demographics
NPI:1467523597
Name:ROTHSTEIN, CAROL STECKER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:STECKER
Last Name:ROTHSTEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LOMBARD DR
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7325
Mailing Address - Country:US
Mailing Address - Phone:973-901-0264
Mailing Address - Fax:
Practice Address - Street 1:160 S LIVINGSTON AVE STE 108
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3071
Practice Address - Country:US
Practice Address - Phone:973-901-2734
Practice Address - Fax:973-535-1019
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3402103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical