Individual
MRS. CORISSA LORRAINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2712 TELEGRAPH AVE, BERKELEY, CA 94705-1117
(510) 548-8283
Mailing address
2712 TELEGRAPH AVE, BERKELEY, CA 94705-1117
(510) 548-8283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
01/03/2022
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