Individual
PROF. KIM CORBIN-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 OLD MAIN HL, DEPT OF COMMUNICATIVE DISORDERS & DEAF EDUCATION, LOGAN, UT 84322-1000
(435) 797-1302
(435) 797-0221
Mailing address
1000 OLD MAIN HL, DEPT OF COMMUNICATIVE DISORDERS & DEAF EDUCATION, LOGAN, UT 84322-1000
(435) 797-1302
(435) 797-0221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111768-4102
UT
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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