Healthcare Provider Details

I. General information

NPI: 1518977115
Provider Name (Legal Business Name): KAREL ELLEN RUBINSTEIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 THE GRN
COLLINSVILLE CT
06019-3172
US

IV. Provider business mailing address

6 THE GRN
COLLINSVILLE CT
06019-3172
US

V. Phone/Fax

Practice location:
  • Phone: 860-693-8020
  • Fax: 860-722-3089
Mailing address:
  • Phone: 860-693-8020
  • Fax: 860-722-3089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number00825
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: