Provider Demographics
NPI:1497074637
Name:CORBIN, DANIEL (MSED,LPC,NCC,CCDPD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:CORBIN
Suffix:
Gender:M
Credentials:MSED,LPC,NCC,CCDPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 N RANDOLPH DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3432
Mailing Address - Country:US
Mailing Address - Phone:412-999-7937
Mailing Address - Fax:
Practice Address - Street 1:37 MCMURRAY RD
Practice Address - Street 2:BLDG 2, STE 2100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1632
Practice Address - Country:US
Practice Address - Phone:412-945-0692
Practice Address - Fax:412-774-2627
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006282101YM0800X, 101YA0400X, 101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC006282OtherLPC