Provider Demographics
NPI:1285840876
Name:RUBINSTEIN, KAREN SUSAN
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUSAN
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:SUSAN
Other - Last Name:FINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:19195 MYSTIC POINTE DR
Mailing Address - Street 2:1208
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4502
Mailing Address - Country:US
Mailing Address - Phone:305-962-9198
Mailing Address - Fax:305-466-1356
Practice Address - Street 1:9260 SW 72ND ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3275
Practice Address - Country:US
Practice Address - Phone:305-331-9656
Practice Address - Fax:305-466-1356
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT0000677171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor