Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 1014 | OK |
N | 103TC0700X | Clinical Psychologist | 1014 | OK |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1014 | OK |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 1014 | OK |
N | 103TH0100X | Health Service | 1014 | OK |
N | 103TM1800X | Intellectual & Developmental Disabilities | 1014 | OK |
N | 103TR0400X | Rehabilitation Psychologist | 1014 | OK |
NPI | 1578500781 |
---|---|
Provider Name | Dr. Maria Francesca Rubino-Watkins |
First Address | Edmond, OK 73034 |
Second Address | Edmond, OK 73034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 28/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11561399 | (02) | OK |
200078530A | (05) | OK |
841699669 | (02) | OK |