Corbett, Chanda Carmela
Corbett, Chanda Carmela is an sole proprietor health care provider with primary practice located at 3545 Ellicott Mills Dr Suite 101, Ellicott City MD 21043-4548. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Corbett, Chanda Carmela can be contacted via phone (603) 591-0149.Contact Information
Primary practice address
3545 Ellicott Mills Dr Suite 101
Ellicott City MD 21043-4548
Phone: (603) 591-0149
Fax: (410) 788-3220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 04648 | Maryland |
Profile Details
| NPI number | 1538219555 |
|---|---|
| LBN Legal business name | Corbett, Chanda Carmela |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | May 12th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538219555 | NPPES |
| Maryland | MEDICAID | 029219200 |
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