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:
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Health care specialties

SpecialtyCodeLicense #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 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689745861 NPPES
California Other 0PL200040 BLUE SHIELD
California Other 374834 BLUE SHIELD
California Other 5674288 BLUE SHIELD

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