Individual
DR. CHANDA CARMELA CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3545 ELLICOTT MILLS DR, SUITE 101, ELLICOTT CITY, MD 21043-4548
(603) 591-0149
(410) 788-3220
Mailing address
1108 DANIELS AVERNUE, GWYNN OAK, MD 21207
(603) 591-0149
(410) 788-3220
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
04648
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029219200
—
MD
Enumeration date
01/11/2007
Last updated
05/12/2014
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