Provider Demographics
NPI:1467831800
Name:RUBINSTEIN, JESSICA (MA SLP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 BUCKLAND HILLS DR
Mailing Address - Street 2:APT 14222
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-8742
Mailing Address - Country:US
Mailing Address - Phone:860-245-1446
Mailing Address - Fax:
Practice Address - Street 1:345 BUCKLAND HILLS DR
Practice Address - Street 2:APT 14222
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-8742
Practice Address - Country:US
Practice Address - Phone:860-245-1446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist