Provider Demographics
NPI:1386029536
Name:PFAFF, CORRINE BARTON (AUD)
Entity Type:Individual
Prefix:DR
First Name:CORRINE
Middle Name:BARTON
Last Name:PFAFF
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 CROSS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6500
Mailing Address - Country:US
Mailing Address - Phone:412-977-8709
Mailing Address - Fax:724-962-9034
Practice Address - Street 1:1623 DUTCH LN
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3010
Practice Address - Country:US
Practice Address - Phone:724-962-3210
Practice Address - Fax:724-962-9034
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006429231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist