Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 35SI00359700 | NJ |
NPI | 1215142716 |
---|---|
Provider Name | Dr. Evelyn C. Rubin |
First Address | Englewood, NJ 07631-3704 |
Second Address | Englewood, NJ 07631-3704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |