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DR. JODY ALAN RUBENSTEIN PH.D.

Clinical Neuropsychologist

Dallas, Texas

Provider NPI: 1114030558

Provider Information:
DR. JODY ALAN RUBENSTEIN PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
5418 MORNINGSIDE AVE  DALLAS, TX 75206 US
Tel: 214-206-6473  Fax: --

Business Mailing Address:
5418 MORNINGSIDE AVE  DALLAS, TX 75206 US
Tel: 214-206-6473  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX2-4753

Other Provider Identifiers:

IssuerNumberStateType
352153601TX05
CSHCN MEDICAID352153602TX01
BLUE CROSS BLUE SHIELD89455ATX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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