Individual
DR. CORBY ALAN BUBP
Active
Individual
DR. CORBY ALAN BUBP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042024
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200504340
—
IN
Enumeration date
08/02/2006
Last updated
12/09/2019
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