Healthcare Provider Details

I. General information

NPI: 1578500781
Provider Name (Legal Business Name): MARIA FRANCESCA RUBINO-WATKINS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 01/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 E. 9TH STREET STE 5
EDMOND OK
73034
US

IV. Provider business mailing address

1300 E. 9TH STREET STE 5
EDMOND OK
73034
US

V. Phone/Fax

Practice location:
  • Phone: 405-532-4023
  • Fax: 405-513-8492
Mailing address:
  • Phone: 405-532-4023
  • Fax: 405-513-8492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number1014
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1014
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1014
License Number StateOK
# 4
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number1014
License Number StateOK
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number1014
License Number StateOK
# 6
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number1014
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: