MEDICARE: DR. CHAD CORBLEY PH.D.

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

General Provider Information

NPI Number	:	1487887493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD CORBLEY PH.D.

Provider Business Mailing Address
First Line	:	987 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2527
Country	:	US
Telephone Number	:	614-468-8184
Fax Number	:

Provider Business Practice Location Address
First Line	:	987 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2527
Country	:	US
Telephone Number	:	614-468-8184
Fax Number	:

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

Provider Enumeration Date	:	08/25/2009
Last Update Date	:	08/01/2018

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Directions to “ DR. CHAD CORBLEY PH.D.” Practice Location

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