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Individual

DR. HEATHER MICHELLE CORKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(404) 290-1308
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7764

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002860
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
975242329B
GA
Enumeration date
01/04/2007
Last updated
07/29/2013
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