Charles T. Rubio Phd Pc | |
2101 Executive Park Dr Opelika AL 36801-6041 | |
(334) 749-5055 | |
Not Available |
Full Name | Charles T. Rubio Phd Pc |
---|---|
Speciality | Psychologist |
Location | 2101 Executive Park Dr, Opelika, Alabama |
Authorized Official Name and Position | Charles T Rubio (PSYCHOLOGIST) |
Authorized Official Contact | 3347495055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charles T. Rubio Phd Pc 2101 Executive Park Dr Opelika AL 36801-6041 Ph: () - | Charles T. Rubio Phd Pc 2101 Executive Park Dr Opelika AL 36801-6041 Ph: (334) 749-5055 |
NPI Number | 1497182232 |
---|---|
Provider Enumeration Date | 10/10/2013 |
Last Update Date | 10/28/2013 |
Medicare PECOS PAC ID | 6305071374 |
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Medicare Enrollment ID | O20131029000168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497182232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Charles T Rubio |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1902994270 PECOS PAC ID: 3577798545 Enrollment ID: I20131029000228 |
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