Boren, Corey
Boren, Corey is an sole proprietor health care provider with primary practice located at 289 N 19Th Ave Apt 52 , Lemoore CA 93245-2573. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boren, Corey can be contacted via phone (916) 893-4528.Contact Information
Primary practice address
289 N 19Th Ave Apt 52
Lemoore CA 93245-2573
Phone: (916) 893-4528
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 74125 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 11564758-4805 | Utah |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4521033015 | Missouri |
Profile Details
NPI number | 1679200471 |
---|---|
LBN Legal business name | Boren, Corey |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 2nd, 2022 |
Last updated | Dec 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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