| Doctor Name: | DR. ELYSE S. RUBENSTEIN |
| NPI Number: | 1245369297 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD034864E |
| Business Practice Address: | 185 Ladderback Ln. Devon, PA - 19333 |
| Business Phone Number: | 6102548515 |
| Business Fax Number: | 6103410584 |
| Mailing Address: | 185 Ladderback Ln., DEVON |
| State: | PA |
| Postal Code: | 19333 |
| Phone Number: | 6102548515 |
| Fax Number: | 6103410584 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 10/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | MD034864E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |