Individual
KEN CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30 E 21ST ST, NEW YORK, NY 10010-7215
(347) 668-2469
Mailing address
96 ROCKWELL PL, BROOKLYN, NY 11217-1148
(347) 668-2469
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
009997-1
NY
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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