Provider Demographics
NPI:1497931471
Name:RUBIN, ARLENE F (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:F
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:773 TEANECK RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4846
Mailing Address - Country:US
Mailing Address - Phone:201-837-8371
Mailing Address - Fax:201-837-1668
Practice Address - Street 1:773 TEANECK RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4846
Practice Address - Country:US
Practice Address - Phone:201-837-8371
Practice Address - Fax:201-837-1668
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYSOOO623235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist