Individual
DR. LISA RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC
Contact information
Practice address
282 VILLAGE PKWY NE, MARIETTA, GA 30067-4062
(770) 937-6300
(770) 937-9296
Mailing address
282 VILLAGE PKWY NE, MARIETTA, GA 30067-4062
(770) 937-6300
(770) 937-9296
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003059
GA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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