Provider Demographics
NPI:1619623014
Name:BRUBAKER, REBECCA DIANE (CFP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:DIANE
Last Name:BRUBAKER
Suffix:
Gender:F
Credentials:CFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16224 HOMINY PATH
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-3817
Mailing Address - Country:US
Mailing Address - Phone:612-240-3814
Mailing Address - Fax:
Practice Address - Street 1:16224 HOMINY PATH
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-3817
Practice Address - Country:US
Practice Address - Phone:612-240-3814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNFPS33272021175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist