Provider Demographics
NPI:1780332759
Name:CORBIN, CORRIN JENNIFER (MA)
Entity type:Individual
Prefix:MS
First Name:CORRIN
Middle Name:JENNIFER
Last Name:CORBIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:250 JEFFERSON DR APT 306
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3713
Mailing Address - Country:US
Mailing Address - Phone:412-600-7654
Mailing Address - Fax:
Practice Address - Street 1:907 WEST ST STE 218
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2838
Practice Address - Country:US
Practice Address - Phone:412-407-3332
Practice Address - Fax:412-612-2618
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist