Corkins, Heather Michelle

Corkins, Heather Michelle is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Corkins, Heather Michelle can be contacted via phone (404) 290-1308.

Contact Information

Primary practice address
1650 Cochrane Cir Fort Carson CO 80913-4613
Phone: (404) 290-1308
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002860 Georgia

Profile Details

NPI number 1679620322
LBN Legal business name Corkins, Heather Michelle
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 29th, 2013 - about 11 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 1679620322 NPPES
Georgia MEDICAID 975242329B

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