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NPI Code Detail

MEDICARE: MRS. ANDREA RUBENSTEIN

MEDICARE: MRS. ANDREA RUBENSTEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist31977CA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225416704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA RUBENSTEIN
Provider Business Mailing Address
First Line : 66 FRANKLIN ST STE 300
Second Line :
City : OAKLAND
State : CA
Zip : 94607-3734
Country : US
Telephone Number : 510-200-8878
Fax Number :
Provider Business Practice Location Address
First Line : 66 FRANKLIN ST STE 300
Second Line :
City : OAKLAND
State : CA
Zip : 94607-3734
Country : US
Telephone Number : 105-200-8878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 02/28/2023

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Directions to “ MRS. ANDREA RUBENSTEIN ” Practice Location

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