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Individual

DR. TAKISHA M CORBETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1901 1ST AVENUE STE 245, SAN DIEGO, CA 92101-9210
(858) 964-0722
Mailing address
1901 1ST AVE, STE 245, SAN DIEGO, CA 92101-0311

Taxonomy

Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
31413
CA

Other

Enumeration date
09/13/2012
Last updated
02/15/2021
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