Provider Demographics
NPI:1891116265
Name:CORBIN, SABRINA R (LLP)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:R
Last Name:CORBIN
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MI
Mailing Address - Zip Code:49230-8926
Mailing Address - Country:US
Mailing Address - Phone:517-402-4008
Mailing Address - Fax:
Practice Address - Street 1:119 BINGHAM DR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MI
Practice Address - Zip Code:49230-8926
Practice Address - Country:US
Practice Address - Phone:517-402-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
MI6361007300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist