Individual
DR. CORINNA YOUNG CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12625 HIGH BLUFF DR, SUITE 104, SAN DIEGO, CA 92130-2052
(858) 794-9413
(858) 876-3128
Mailing address
2262 CARMEL VALLEY RD, STE E, DEL MAR, CA 92014-3751
(858) 794-9413
(858) 876-3128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20004
CA
103TC0700X
Clinical Psychologist
PSY20004
CA
103TH0100X
Health Service Psychologist
PSY20004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PL200040
BLUE SHIELD
CA
01
—
374834
MHN
CA
01
—
5674288
FIRST HEALTH
CA
Enumeration date
11/10/2006
Last updated
04/28/2016
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