Doctor Name: | MICHAEL CHARLES CORBY |
NPI Number: | 1407288103 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., L.L.P.C. |
License Number: | 6401013680 |
Business Practice Address: | 2305 East Paris Ave Se Suite 203 Grand Rapids, MI - 495462426 |
Business Phone Number: | 6169290226 |
Business Fax Number: | |
Mailing Address: | 2663 Hall St Se, GRAND RAPIDS |
State: | MI |
Postal Code: | 495063569 |
Phone Number: | 6165600327 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401013680 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |