Susan Rubin | Tucson, AZ • PECOS Search

Susan Rubin

Social Worker

Behavioral Health & Social Service Providers

4131 E Coronado Dr, Tucson, AZ 85718-1515

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Rubin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1255641767
Provider Type
Individual
Full Name
Rubin, Susan
Title
Ms.
Credential
PH.D. , LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/18/2010
Last Updated
10/18/2010

Contact Information

Practice Location

4131 E Coronado Dr, Tucson, AZ 85718-1515

Unlisted Fax

Mailing Location

4131 E Coronado Dr, Tucson, AZ 85718-1515

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2281 Arizona