Provider Demographics
NPI:1306421623
Name:LINVILLE, CORBIN (LPC)
Entity type:Individual
Prefix:
First Name:CORBIN
Middle Name:
Last Name:LINVILLE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 S WATER ST APT 113
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-4003
Mailing Address - Country:US
Mailing Address - Phone:724-309-1505
Mailing Address - Fax:
Practice Address - Street 1:125 TECHNOLOGY DR STE 104
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-9557
Practice Address - Country:US
Practice Address - Phone:412-945-0431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013059101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health