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Individual
STEPHEN CORBO
Active
Individual
STEPHEN CORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020068-1
NY OFFICE OF PROFESSIONS REGISTRATION CERTIFICATE
NY
01
—
14028537
AMERICAN SPEECH AND HEARING ASSOCIATION
—
Enumeration date
07/12/2010
Last updated
07/12/2010
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