Doctor Name: | SANDRA CORBITT |
NPI Number: | 1639503303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCDC |
License Number: | 6764 |
Business Practice Address: | 1105 Memorial Dr Ste 101 Denison, TX - 750202177 |
Business Phone Number: | 9723914253 |
Business Fax Number: | 9034640559 |
Mailing Address: | 1105 Memorial Dr, Ste 101 DENISON |
State: | TX |
Postal Code: | 750202177 |
Phone Number: | 9723914253 |
Fax Number: | 9034640559 |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6764 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |