Individual
ASHLEY BROWN CORBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1502 S COLORADO ST, GREENVILLE, MS 38703-7219
(662) 579-8508
(601) 586-8334
Mailing address
206 SYCAMORE ST, LELAND, MS 38756-3139
(662) 820-5044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200970
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01656512
—
MS
05
—
25177921
—
AR
Enumeration date
08/26/2020
Last updated
05/23/2022
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