Doctor Name: | MR. DAVID RUBLE |
NPI Number: | 1104955814 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPE-I |
License Number: | 95-11EI |
Business Practice Address: | 407 S 7th St Heber Springs, AR - 725433722 |
Business Phone Number: | 5013653022 |
Business Fax Number: | 5013653086 |
Mailing Address: | 407 S 7th St, HEBER SPRINGS |
State: | AR |
Postal Code: | 725433722 |
Phone Number: | 5013653022 |
Fax Number: | 5013653086 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 11/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 95-11EI |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |