| Doctor Name: | MS. ELLEN MARIE RUBAN |
| NPI Number: | 1457639908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LSW |
| License Number: | 44SL04662600 |
| Business Practice Address: | 390 Main Rd. Montville, NJ - 07045 |
| Business Phone Number: | 9733169333 |
| Business Fax Number: | 9733165790 |
| Mailing Address: | P.o. Box 336, C/o Newbridge Services POMPTON PLAINS |
| State: | NJ |
| Postal Code: | 07444 |
| Phone Number: | 9738392520 |
| Fax Number: | 9736282240 |
| NPI Enumeration Date: | 08/02/2011 |
| NPI Last Update Date: | 08/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SL04662600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |