| Doctor Name: | DR. RICHARD HENRY RUBES |
| NPI Number: | 1174539043 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | P648 |
| Business Practice Address: | Bldng P11050 Mount Belvedere Blvd Guthrie Ambulatory Health Clinic Fort Drum, NY - 13602 |
| Business Phone Number: | 3157721074 |
| Business Fax Number: | 3157726229 |
| Mailing Address: | Bldng P11050 Mount Belvedere Blvd, Guthrie Ambulatory Health Clinic FORT DRUM |
| State: | NY |
| Postal Code: | 13602 |
| Phone Number: | 3157721074 |
| Fax Number: | 3157726229 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 09/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | P648 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |