Individual
DR. SOPHIE RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., DELLP, CAAC
Contact information
Practice address
112 E CHART ST, PLAINWELL, MI 49080-1768
(269) 685-6363
Mailing address
628 TURWILL LN, KALAMAZOO, MI 49006-2780
(269) 352-6922
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
C-00864
MI
103TC0700X
Clinical Psychologist
Primary
6301014225
MI
Other
Enumeration date
05/10/2007
Last updated
01/03/2011
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