Provider Demographics
NPI:1083998645
Name:CORBIN, CATHERINE WHEELER (PHD, LICENSED PSYC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:WHEELER
Last Name:CORBIN
Suffix:
Gender:F
Credentials:PHD, LICENSED PSYC
Other - Prefix:MS
Other - First Name:M. (ARY)
Other - Middle Name:CATHERINE
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD LICENSEDPSYCHO
Mailing Address - Street 1:139 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2037
Mailing Address - Country:US
Mailing Address - Phone:914-769-5047
Mailing Address - Fax:914-769-8059
Practice Address - Street 1:139 WASHINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2037
Practice Address - Country:US
Practice Address - Phone:914-769-5047
Practice Address - Fax:914-769-8059
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005497103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical