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Individual

DR. CORIE ASCANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
20863 STEVENS CREEK BLVD, SUITE 580, CUPERTINO, CA 95014-2113
(650) 930-0196
(408) 342-0617
Mailing address
20863 STEVENS CREEK BLVD, SUITE 580, CUPERTINO, CA 95014-2113
(650) 930-0196
(408) 342-0617

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
25363
CA
103TB0200X
Cognitive & Behavioral Psychologist
25363
CA
103TC0700X
Clinical Psychologist
Primary
25363
CA
103TC2200X
Clinical Child & Adolescent Psychologist
25363
CA
103TF0000X
Family Psychologist
25363
CA
103TP2701X
Group Psychotherapy Psychologist
25363
CA

Other

Enumeration date
09/09/2008
Last updated
12/04/2012
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