Provider Demographics
NPI:1669919270
Name:ROTHMAN, KYLIE E (LMFT)
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:E
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KYLIE
Other - Middle Name:E
Other - Last Name:TENDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:798 UNDERHILL AVE
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-5519
Mailing Address - Country:US
Mailing Address - Phone:914-733-2773
Mailing Address - Fax:866-606-1816
Practice Address - Street 1:798 UNDERHILL AVE
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-5519
Practice Address - Country:US
Practice Address - Phone:914-733-2773
Practice Address - Fax:866-606-1816
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-22
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001369106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist