National Provider Identifier

Mary Ellen Rubin, PH.D.

Mary Ellen Rubin, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Williamsville, NY and a listed phone number of (716) 632-5563.

NPI 1962496240Williamsville, NYClinical Psychologist

Profile Overview

NPI
1962496240
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
September 01, 2005
Last Updated
July 08, 2007

Practice Location

  • 6245 Sheridan Dr
  • Suite 218
  • Williamsville, NY 14221-4834

Phone: (716) 632-5563

Mailing Address

  • 193 Getzville RD
  • Amherst, NY 14226-3519

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1962496240
Entity Type
Individual
Last Name
Rubin
First Name
Mary Ellen
Credential
PH.D.
Mailing Street Address
193 Getzville RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3519
Mailing Country
US
Mailing Phone
(716) 632-5563
Practice Street Address
6245 Sheridan Dr
Practice Address Line 2
Suite 218
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-4834
Practice Country
US
Practice Phone
(716) 632-5563
Enumeration Date
September 01, 2005
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
000507521001 (NY, Blue Cross)