Role, Marussia Rothenberg

Role, Marussia Rothenberg is an sole proprietor health care provider with primary practice located at 11 Beech St , Cambridge MA 02140. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Role, Marussia Rothenberg can be contacted via phone (617) 418-1286.

Contact Information

Primary practice address
11 Beech St Cambridge MA 02140
Phone: (617) 418-1286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11137 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California

Profile Details

NPI number 1447628045
LBN Legal business name Role, Marussia Rothenberg
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2015
Last updated Mar 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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