Provider Demographics
NPI:1356660625
Name:TENCE CORBIN, LUCY ARAUJO (AUD)
Entity type:Individual
Prefix:DR
First Name:LUCY
Middle Name:ARAUJO
Last Name:TENCE CORBIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 SUSQUEHANNA VALLEY MALL DR STE 700
Mailing Address - Street 2:
Mailing Address - City:SELINSGROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17870-9122
Mailing Address - Country:US
Mailing Address - Phone:570-245-1526
Mailing Address - Fax:570-245-0028
Practice Address - Street 1:270 SUSQUEHANNA VALLEY MALL DR STE 700
Practice Address - Street 2:
Practice Address - City:SELINSGROVE
Practice Address - State:PA
Practice Address - Zip Code:17870-9122
Practice Address - Country:US
Practice Address - Phone:570-245-1526
Practice Address - Fax:570-245-0028
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006116231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
196271QP8OtherMEDICARE PTAN
PA1025374300001Medicaid