Provider Demographics
NPI:1881931269
Name:ROTHMAN, JAIME PAIGE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:PAIGE
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 EASTON RD
Mailing Address - Street 2:APARTMENT K-128
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-1819
Mailing Address - Country:US
Mailing Address - Phone:215-470-4018
Mailing Address - Fax:
Practice Address - Street 1:727 WELSH RD
Practice Address - Street 2:SUITE 202
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6310
Practice Address - Country:US
Practice Address - Phone:215-914-2119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-06
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006446101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional