Corwin, Kimberly Nicole

Corwin, Kimberly Nicole is an sole proprietor health care provider with primary practice located at 3420 Kenyon St Building B 1St Floor , San Diego CA 92110-5001. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Corwin, Kimberly Nicole can be contacted via phone (619) 221-6550.

Contact Information

Primary practice address
3420 Kenyon St Building B 1St Floor San Diego CA 92110-5001
Phone: (619) 221-6550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY21942 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY21942 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY21942 California

Profile Details

NPI number 1023551850
LBN Legal business name Corwin, Kimberly Nicole
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2016
Last updated Oct 25th, 2021 - about 3 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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