Provider Demographics
NPI:1649510132
Name:ROSENBLUTH, DOROTHY DITTMAN (LPC)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:DITTMAN
Last Name:ROSENBLUTH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:DOROTHY
Other - Middle Name:LEE
Other - Last Name:ROSENBLUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1732 OLD GULPH RD
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-1830
Mailing Address - Country:US
Mailing Address - Phone:610-291-1483
Mailing Address - Fax:
Practice Address - Street 1:1732 OLD GULPH RD
Practice Address - Street 2:
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085-1830
Practice Address - Country:US
Practice Address - Phone:610-291-1483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003154101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional