Provider Demographics
NPI:1013103134
Name:CORBETT, DORIS R (LPCMH)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:R
Last Name:CORBETT
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 REPRESENTATIVE LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2491
Mailing Address - Country:US
Mailing Address - Phone:302-438-0884
Mailing Address - Fax:
Practice Address - Street 1:256 CHAPMAN RD STE 105
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5417
Practice Address - Country:US
Practice Address - Phone:302-438-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health