Casey, Corinna Young
Casey, Corinna Young is an individual health care provider with primary practice located at 12625 High Bluff Dr Suite 104, San Diego CA 92130-2052. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Casey, Corinna Young can be contacted via phone (858) 794-9413.Contact Information
Primary practice address
12625 High Bluff Dr Suite 104
San Diego CA 92130-2052
Phone: (858) 794-9413
Fax: (858) 876-3128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY20004 | California |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PSY20004 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY20004 | California |
Profile Details
| NPI number | 1689745861 |
|---|---|
| LBN Legal business name | Casey, Corinna Young |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Apr 28th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689745861 | NPPES |
| California | Other | 0PL200040 | BLUE SHIELD |
| California | Other | 374834 | BLUE SHIELD |
| California | Other | 5674288 | BLUE SHIELD |
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