Provider Demographics
NPI:1548521958
Name:ROTHMAN, YEHUDIT (MFT)
Entity type:Individual
Prefix:
First Name:YEHUDIT
Middle Name:
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 S SEPULVEDA BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7534
Mailing Address - Country:US
Mailing Address - Phone:180-031-0770
Mailing Address - Fax:
Practice Address - Street 1:1640 S SEPULVEDA BLVD STE 120
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7534
Practice Address - Country:US
Practice Address - Phone:180-031-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48136106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist