| NPI | 1336279405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M RUBIN Psychologist 520-529-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 1115) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-10-24 |