Provider Demographics
NPI:1912557984
Name:ROTONDO, KATHERINE O'NEILL (LMFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:O'NEILL
Last Name:ROTONDO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W STATE ST STE 303
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5843
Mailing Address - Country:US
Mailing Address - Phone:267-742-3244
Mailing Address - Fax:
Practice Address - Street 1:800 W STATE ST STE 303
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-5843
Practice Address - Country:US
Practice Address - Phone:267-742-3244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist