Provider Demographics
NPI:1568682607
Name:CORELL, JOAH HELENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOAH
Middle Name:HELENE
Last Name:CORELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 WESTERN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3421
Mailing Address - Country:US
Mailing Address - Phone:413-568-2994
Mailing Address - Fax:413-568-2994
Practice Address - Street 1:126 WESTERN CIRCLE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3421
Practice Address - Country:US
Practice Address - Phone:413-568-2994
Practice Address - Fax:413-568-2994
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA553103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist