Provider Demographics
NPI:1184767345
Name:RUBINOWITZ, LINDA RAE (PHD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:RAE
Last Name:RUBINOWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 DOBSON STREET
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3820
Mailing Address - Country:US
Mailing Address - Phone:847-869-9580
Mailing Address - Fax:
Practice Address - Street 1:618 LIBRARY PLACE
Practice Address - Street 2:THE FAMILY INSTITUTE AT NORTHWESTERN UNIVERSITY
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201
Practice Address - Country:US
Practice Address - Phone:847-733-4300
Practice Address - Fax:847-733-0390
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist