Provider Demographics
NPI:1215456538
Name:KUBE, ERIN ROSE (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ROSE
Last Name:KUBE
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 N SAINT LOUIS AVE APT 2RN
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2261
Mailing Address - Country:US
Mailing Address - Phone:773-741-0607
Mailing Address - Fax:
Practice Address - Street 1:1819 N SAINT LOUIS AVE APT 2RN
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2261
Practice Address - Country:US
Practice Address - Phone:480-231-7985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4899103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist