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Organization

KIMBERLY CORBETT, PSY.D., A PSYCHOLOGICAL CORP.

Active
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Organization

KIMBERLY CORBETT, PSY.D., A PSYCHOLOGICAL CORP.

Active
Other names
Kimberly Corbett, Psy.D., M.F.T.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY FARA CORBETT PSY.D., M.F.T. (PRESIDENT/CEO)
(619) 298-0169
Entity
Organization

Contact information

Practice address
4411 30TH ST STE 101, SAN DIEGO, CA 92116-4286
(619) 298-2098
(619) 298-2098
Mailing address
6757 FRIARS RD UNIT 21, SAN DIEGO, CA 92108-5013
(619) 298-0169
(619) 298-0169

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21669
CA
106H00000X
Marriage & Family Therapist
MFC39583
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352923
CIGNA
CA
01
—
7314642
AETNA
CA
01
—
MFC395830
BLUE SHIELD AND TRICARE
CA
Enumeration date
04/23/2007
Last updated
09/15/2007
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