Individual
DR. CAITLIN SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(267) 334-3598
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 860-5887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PENDING
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261511
—
CA
Enumeration date
11/15/2012
Last updated
08/20/2019
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