Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORBIN JON DEWICK
Active Sole ProprietorCORBIN JON DEWICK is a Emotionally Disturbed Children Residential Treatment healthcare provider located in SPRINGFIELD, Missouri. NPI 1609678374 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1609678374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2025 (1.4341246337315 yrs)
- Last Updated
- Apr 15, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4396 W DELMAR STSPRINGFIELD, MO, 658027809Browse MO providers · Browse ZIP 65802
- Phone
- 4175018213
- Fax
- 4175018213
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.