Provider Demographics
NPI:1013153667
Name:KUBIC, ROBAN (LPC)
Entity Type:Individual
Prefix:
First Name:ROBAN
Middle Name:
Last Name:KUBIC
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ROBERTA
Other - Middle Name:ANN
Other - Last Name:KUBIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3801 N MILLER RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4511
Mailing Address - Country:US
Mailing Address - Phone:480-403-1651
Mailing Address - Fax:480-874-3767
Practice Address - Street 1:1845 S DOBSON RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-5661
Practice Address - Country:US
Practice Address - Phone:480-403-1651
Practice Address - Fax:480-874-3767
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-04
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1995101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional