Provider Demographics
NPI:1750454047
Name:RUEBEL, JOSEPH BLACKBURN III (PSYD, HSP-P)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BLACKBURN
Last Name:RUEBEL
Suffix:III
Gender:M
Credentials:PSYD, HSP-P
Other - Prefix:DR
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:RUEBEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, HSP-P
Mailing Address - Street 1:220 5TH AVE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4377
Mailing Address - Country:US
Mailing Address - Phone:828-692-4289
Mailing Address - Fax:828-696-1794
Practice Address - Street 1:44 BONNIE LN
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-8511
Practice Address - Country:US
Practice Address - Phone:828-631-3973
Practice Address - Fax:828-631-9280
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4314103T00000X, 103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103T00000XBehavioral Health & Social Service ProvidersPsychologist