Individual
DR. MARTHA S RUBENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
108 E MAIN ST STE 210A, KINGSPORT, TN 37660-4257
(423) 392-6898
(423) 392-6900
Mailing address
108 E MAIN ST STE 210A, KINGSPORT, TN 37660-4257
(423) 392-6898
(423) 392-6900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
P1844
TN
103TA0700X
Adult Development & Aging Psychologist
P1844
TN
103TC0700X
Clinical Psychologist
Primary
P1844
TN
103TC1900X
Counseling Psychologist
P1844
TN
103TF0000X
Family Psychologist
P1844
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086618000
MAGELLAN
TN
01
—
089489
VALUE OPTIONS
TN
01
—
123121
MHN
TN
01
—
283730
BCBS VA
TN
01
—
3051273
BCBS TN
TN
01
—
4522650
AETNA
TN
01
—
9213177
PHCS
TN
Enumeration date
02/01/2007
Last updated
04/29/2022
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