Beanne Rothenberg


Address: 895 Aurora Ave, Boulder, CO 80302-7109
Phone: 3158823371

Beanne Rothenberg (NPI# 1760418180, PAC ID# 5890734545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1760418180
PAC ID by PECOS 5890734545
Professional Enrollment ID I20130220000398
Full Name Beanne Rothenberg
Address 895 Aurora Ave
Boulder
CO 80302-7109
Phone Number 3158823371
Gender F
Credential CP
Graduation Year 1987
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
895 Aurora Ave, Boulder, CO 80302-7109 3158823371

Organization Information

Office Location

Street Address 895 AURORA AVE
City BOULDER
State CO
Zip 80302-7109

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Ashlee D Elmont Optometry 2795 Pearl St, Suite 100, Boulder, CO 80302-3826
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Competitor

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City BOULDER
Zip Code 80302
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty BOULDER + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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