Individual
MRS. AUDREY S. RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,C.C.C.
Contact information
Practice address
12 ROSE GLEN DR, ANDOVER, MA 01810-4704
(978) 475-6335
(978) 686-0456
Mailing address
12 ROSE GLEN DR, ANDOVER, MA 01810-4704
(978) 475-6335
(978) 686-0456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1229
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330841
—
MA
Enumeration date
05/11/2007
Last updated
07/09/2007
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