Doctor Name: | HEATHER RENEE CORBITT |
NPI Number: | 1851695092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, CCC-SLP |
License Number: | SLO007494 |
Business Practice Address: | 1701 N Patterson St Valdosta, GA - 316022940 |
Business Phone Number: | 2292444545 |
Business Fax Number: | 2292444244 |
Mailing Address: | 6119 Quarterman Rd, HAHIRA |
State: | GA |
Postal Code: | 31632 |
Phone Number: | 2292410988 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2011 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLO007494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |