MEDICARE: MS. DANIELLE CORBIN L.A.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	37AC00142400	NJ
2	101YM0800X	Mental Health Counselor	37PC00578600	NJ

General Provider Information

NPI Number	:	1376956987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE CORBIN L.A.C

Provider Business Mailing Address
First Line	:	591 RIFLE CAMP ROAD
Second Line	:
City	:	WOODLAND PARK
State	:	NJ
Zip	:	07424-2726
Country	:	US
Telephone Number	:	201-321-0911
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 RIFLE CAMP RD FL 2
Second Line	:
City	:	WOODLAND PARK
State	:	NJ
Zip	:	07424-2726
Country	:	US
Telephone Number	:	201-321-0911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2014
Last Update Date	:	02/09/2017

Similar Medicare Providers

1689883001 — PARTNERS FOR HOPE
Practice Location Address:

365 RIFLE CAMP RD , SUITE 201
WOODLAND PARK, NJ
07424-2726

Practice Phone: 201-321-0911
Practice Fax:

1629497706 — LYNDA JOHNSON LCSW
Practice Location Address:

365 RIFLE CAMP RD
WOODLAND PARK, NJ
07424-2726

Practice Phone: 201-321-0811
Practice Fax:

1164839015 — MELANIE RODRIGUEZ M.S.W., L.S.W.
Practice Location Address:

365 RIFLE CAMP RD , SUITE 201
WOODLAND PARK, NJ
07424-2726

Practice Phone: 973-321-0911
Practice Fax: 888-262-0085

1063669455 — KIM ANN DOLAN APN
Practice Location Address:

351 RIFLE CAMP RD
WEST PATERSON, NJ
07424-2726

Practice Phone: 973-345-0644
Practice Fax:

1962508762 — DR. RANDAL JAMES FORTNER JR. O.D.
Practice Location Address:

1158 PARK CITY CTR
LANCASTER, PA
17601-2726

Practice Phone: 717-393-4042
Practice Fax:

1265538045 — JOHN H BROADDUS
Practice Location Address:

1158 PARK CITY CTR
LANCASTER, PA
17601-2726

Practice Phone: 717-393-4042
Practice Fax:

Directions to “ MS. DANIELLE CORBIN L.A.C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.