Provider Demographics
NPI:1922263680
Name:RUBINOW, ROBERT DOUGLAS II (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:RUBINOW
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
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Mailing Address - Street 1:6330 NEWTOWN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4802
Mailing Address - Country:US
Mailing Address - Phone:757-466-3336
Mailing Address - Fax:757-455-5750
Practice Address - Street 1:6330 NEWTOWN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4802
Practice Address - Country:US
Practice Address - Phone:757-466-3336
Practice Address - Fax:757-455-5750
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2015-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0701005538101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1861562472Medicaid