Doctor Name: | SHEILA CORLEY |
NPI Number: | 1215394143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PC008531 |
Business Practice Address: | 25 E Center St Suite 5 Nazareth, PA - 180642254 |
Business Phone Number: | 4849031265 |
Business Fax Number: | |
Mailing Address: | 25 E Center St, Suite 5 NAZARETH |
State: | PA |
Postal Code: | 180642254 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/22/2016 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC008531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |