Individual
CORNELIA CARLTON PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 746-5857
(760) 746-2361
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-2035
(760) 741-2782
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 14310
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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