Provider Demographics
NPI:1326297870
Name:KUBINA, RICHARD M JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:KUBINA
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 NORLE ST
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-6969
Mailing Address - Country:US
Mailing Address - Phone:814-237-0578
Mailing Address - Fax:
Practice Address - Street 1:376 NORLE ST
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-6969
Practice Address - Country:US
Practice Address - Phone:814-237-0578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral