Provider Demographics
NPI:1235244765
Name:WEINMAN, CORINNE MILLER (LMHC, CRC)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:MILLER
Last Name:WEINMAN
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 HORATIO ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-1568
Mailing Address - Country:US
Mailing Address - Phone:212-989-0961
Mailing Address - Fax:212-995-4358
Practice Address - Street 1:72 HORATIO ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-1568
Practice Address - Country:US
Practice Address - Phone:212-989-0961
Practice Address - Fax:212-995-4358
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health