Provider Demographics
NPI:1922263680
Name:RUBINOW, ROBERT DOUGLAS II (LPC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:RUBINOW
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 SAINT MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6160
Mailing Address - Country:US
Mailing Address - Phone:571-723-6205
Mailing Address - Fax:
Practice Address - Street 1:828 SAINT MARTIN DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6160
Practice Address - Country:US
Practice Address - Phone:571-723-6205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005538101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1861562472Medicaid