Individual
DR. SONIA CARBONELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6136 MISSION GORGE RD, SUITE 129, SAN DIEGO, CA 92120-3494
(619) 282-4270
(619) 282-4272
Mailing address
6136 MISSION GORGE RD, SUITE 129, SAN DIEGO, CA 92120
(619) 282-4270
(619) 282-4272
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
1744
MN
103TF0200X
Forensic Psychologist
Primary
19752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902976343
—
CA
Enumeration date
11/09/2006
Last updated
05/15/2017
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