Provider Demographics
NPI:1598556748
Name:ROTHMAN, DANIELLE A (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:A
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5314
Mailing Address - Country:US
Mailing Address - Phone:607-227-2735
Mailing Address - Fax:
Practice Address - Street 1:44340 PREMIER PLZ
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5073
Practice Address - Country:US
Practice Address - Phone:607-227-2735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005585103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical