Healthcare Provider Details

I. General information

NPI: 1265785406
Provider Name (Legal Business Name): CHRISTINE RUBERTI-BRUNING LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE RUBERTI LPC

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S 4TH ST STE 367
PHILADELPHIA PA
19147-1583
US

IV. Provider business mailing address

525 S 4TH ST STE 367
PHILADELPHIA PA
19147-1583
US

V. Phone/Fax

Practice location:
  • Phone: 215-330-5830
  • Fax:
Mailing address:
  • Phone: 215-330-5830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC008568
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: