Provider Demographics
NPI:1386720423
Name:RUBIN-DEUTSCH, JOAN S (MSW)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:S
Last Name:RUBIN-DEUTSCH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MEADOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3932
Mailing Address - Country:US
Mailing Address - Phone:978-263-1214
Mailing Address - Fax:978-263-1214
Practice Address - Street 1:11 MEADOW BROOK RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3932
Practice Address - Country:US
Practice Address - Phone:978-263-1214
Practice Address - Fax:978-263-1214
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1069891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical