Rosenbaum, Michelle Rubin

Rosenbaum, Michelle Rubin is an individual health care provider with primary practice located at 15901 Bass Rd Ste 108 , Fort Myers FL 33908-3838. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Rosenbaum, Michelle Rubin can be contacted via phone (239) 343-6050.

Contact Information

Primary practice address
15901 Bass Rd Ste 108 Fort Myers FL 33908-3838
Phone: (239) 343-6050
Fax: (239) 343-6051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5962 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY5962 Florida

Profile Details

NPI number 1619172699
LBN Legal business name Rosenbaum, Michelle Rubin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Sep 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619172699 NPPES
Florida MEDICAID 104804100

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