| Albert Corbin Psychological Services, Llc | |
|
8587 S. Mason Montgomery Rd. Suite 9 Mason OH 45040-9317 | |
| (513) 919-6722 | |
| (513) 282-0876 |
| Full Name | Albert Corbin Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8587 S. Mason Montgomery Rd., Mason, Ohio |
| Authorized Official Name and Position | Vicki Brault (BUSINESS MANAGER) |
| Authorized Official Contact | 5139196722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Corbin Psychological Services, Llc 8587 S. Mason Montgomery Rd. Suite 9 Mason OH 45040-9317 Ph: (513) 919-6722 | Albert Corbin Psychological Services, Llc 8587 S. Mason Montgomery Rd. Suite 9 Mason OH 45040-9317 Ph: (513) 919-6722 |
| NPI Number | 1073611166 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/07/2011 |
| Medicare PECOS PAC ID | 3476558859 |
|---|---|
| Medicare Enrollment ID | O20060918000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073611166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5748 (Ohio) | Primary |
| Provider Name | Pamela Corbin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336192517 PECOS PAC ID: 9032114418 Enrollment ID: I20060918000216 |
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