Provider Demographics
NPI:1043386725
Name:CORBETT, BARBARA ANN (MA, LLP, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:CORBETT
Suffix:
Gender:F
Credentials:MA, LLP, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 BARRY ST
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1809
Mailing Address - Country:US
Mailing Address - Phone:517-437-5538
Mailing Address - Fax:517-437-5538
Practice Address - Street 1:55 BARRY ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1809
Practice Address - Country:US
Practice Address - Phone:517-437-5538
Practice Address - Fax:517-437-5538
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301005635103TC0700X
MI68010637481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP02490001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER