Individual
DR. JOHN BERNARD CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
7405 CHARMANT DR UNIT 2211, SAN DIEGO, CA 92122-5011
(504) 812-3028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32356
CA
103T00000X
Psychologist
—
—
Other
Enumeration date
12/07/2020
Last updated
02/04/2021
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