Individual
CORIE SECHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBS, CCHW, LPN
Contact information
Practice address
121 MULBERRY ST, HOPWOOD, PA 15445-2114
(724) 555-5555
Mailing address
121 MULBERRY ST, HOPWOOD, PA 15445-2114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006797
PA
164W00000X
Licensed Practical Nurse
PN273413
PA
172V00000X
Community Health Worker
18496
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH006797
PENNSYLVANIA BOARD OF MEDICINE
PA
Enumeration date
12/16/2010
Last updated
02/22/2024
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