Provider Demographics
NPI:1396734133
Name:RUBINSTEIN, ANN M (LCMHC)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 BROAD ST.
Mailing Address - Street 2:SUITE 1511
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063
Mailing Address - Country:US
Mailing Address - Phone:603-577-5551
Mailing Address - Fax:603-577-5576
Practice Address - Street 1:154 BROAD ST.
Practice Address - Street 2:SUITE 1511
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063
Practice Address - Country:US
Practice Address - Phone:603-577-5551
Practice Address - Fax:603-577-5576
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH335101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH14Y001105WH01OtherBCBS