Individual
KELLY CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
6386 ALVARADO CT STE 210, SAN DIEGO, CA 92120-4907
(858) 279-1223
Mailing address
6386 ALVARADO CT STE 210, SAN DIEGO, CA 92120-4907
(858) 279-1223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36010
CA
Other
Enumeration date
07/04/2025
Last updated
11/25/2025
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