Individual
DR. JOHN GERARD RUBEL
Active
Individual
DR. JOHN GERARD RUBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
23722
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
23722
TX
103TC0700X
Clinical Psychologist
Primary
23722
TX
103TC2200X
Clinical Child & Adolescent Psychologist
23722
TX
103TH0100X
Health Service Psychologist
23722
TX
103TP2701X
Group Psychotherapy Psychologist
23722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093ES
BCBS PROVIDER IDENTIFICAT
TX
Enumeration date
11/20/2006
Last updated
12/28/2010
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