Provider Demographics
NPI:1821341678
Name:PRICE, CORRINE M (LPC)
Entity type:Individual
Prefix:
First Name:CORRINE
Middle Name:M
Last Name:PRICE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CORRINE
Other - Middle Name:M
Other - Last Name:CATTELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1105 TAYLORSVILLE ROAD
Mailing Address - Street 2:SUITE 317
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1139
Mailing Address - Country:US
Mailing Address - Phone:215-460-5044
Mailing Address - Fax:215-672-1172
Practice Address - Street 1:1105 TAYLORSVILLE ROAD
Practice Address - Street 2:SUITE 317
Practice Address - City:WASHINGTON CROSSING
Practice Address - State:PA
Practice Address - Zip Code:18977-1139
Practice Address - Country:US
Practice Address - Phone:215-460-5044
Practice Address - Fax:215-672-1172
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006561101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional