Provider Demographics
NPI:1316349509
Name:CORBIN, SIERRA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:CORBIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 TIARA ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-6309
Mailing Address - Country:US
Mailing Address - Phone:541-301-8901
Mailing Address - Fax:541-843-2833
Practice Address - Street 1:985 TIARA ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-6309
Practice Address - Country:US
Practice Address - Phone:541-301-8901
Practice Address - Fax:541-843-2833
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist