Provider Demographics
NPI:1932350139
Name:TORRENCE, CORRIN Z (MA, LPC, PA-C)
Entity Type:Individual
Prefix:
First Name:CORRIN
Middle Name:Z
Last Name:TORRENCE
Suffix:
Gender:F
Credentials:MA, LPC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3043 GESSNER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-1000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3043 GESSNER
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-7708
Practice Address - Country:US
Practice Address - Phone:832-754-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61870101YP2500X
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant