Corder, Justin R.

Corder, Justin R. is an individual health care provider with primary practice located at 4500 S Lancaster Rd 116A, Dallas TX 75216-7167. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Corder, Justin R. can be contacted via phone (214) 857-0895.

Contact Information

Primary practice address
4500 S Lancaster Rd 116A Dallas TX 75216-7167
Phone: (214) 857-0895
Fax: (214) 857-0902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 22642 Texas

Profile Details

NPI number 1043257876
LBN Legal business name Corder, Justin R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 7th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043257876 NPPES
Texas Other 22642 LMSW LICENSE NUMBER

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