Provider Demographics
NPI:1134178247
Name:MYERS-RUBIN, CYNTHIA J (LCSW MSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:J
Last Name:MYERS-RUBIN
Suffix:
Gender:F
Credentials:LCSW MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20283 STATE ROAD 7
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6901
Mailing Address - Country:US
Mailing Address - Phone:561-361-7287
Mailing Address - Fax:
Practice Address - Street 1:20283 STATE ROAD 7
Practice Address - Street 2:SUITE 300
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6901
Practice Address - Country:US
Practice Address - Phone:561-361-7287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW76391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3764YMedicare PIN
FLU3764ZMedicare ID - Type Unspecified