Provider Demographics
NPI:1043198302
Name:VALENTINE, CORINNE
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 W TRENTON AVE UNIT 846
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3720
Mailing Address - Country:US
Mailing Address - Phone:215-586-3102
Mailing Address - Fax:215-618-2331
Practice Address - Street 1:123 PENNS GRANT DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-4918
Practice Address - Country:US
Practice Address - Phone:215-586-3102
Practice Address - Fax:215-618-2331
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PASW1400201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health