Individual
STANLEY DAVID RUBINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1584-057
WI
103TC0700X
Clinical Psychologist
1584-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39096800
—
WI
Enumeration date
07/21/2006
Last updated
09/01/2016
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