Provider Demographics
NPI:1689691339
Name:MARSHALL RUBIN & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MARSHALL RUBIN & ASSOCIATES, LLC
Other - Org Name:MARSHALL RUBIN & ASSOCIATES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:520-577-7718
Mailing Address - Street 1:4131 E CORONADO DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1515
Mailing Address - Country:US
Mailing Address - Phone:520-577-7718
Mailing Address - Fax:520-577-8543
Practice Address - Street 1:4131 E CORONADO DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-1515
Practice Address - Country:US
Practice Address - Phone:520-577-7718
Practice Address - Fax:520-577-8543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW 22621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty