Healthcare Provider Details

I. General information

NPI: 1396734133
Provider Name (Legal Business Name): ANN M RUBINSTEIN LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 BROAD ST. SUITE 1511
NASHUA NH
03063
US

IV. Provider business mailing address

154 BROAD ST. SUITE 1511
NASHUA NH
03063
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-5551
  • Fax: 603-577-5576
Mailing address:
  • Phone: 603-577-5551
  • Fax: 603-577-5576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number335
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: