Kimberly Fara Corbett in San Diego - Clinical

Kimberly Fara Corbett - NPI 1235239823

Kimberly Fara Corbett is a Clinical in San Diego, California. Kimberly Fara Corbett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly Fara Corbett is 1235239823. The last update date is 2019-09-11.

Kimberly Fara Corbett's current location address is 4789 Mount Ashmun Dr, San Diego, California. You can contact this provider via phone number 6192982098 and fax number 6192982098. The mailing address for Kimberly Fara Corbett is 4789 Mount Ashmun Dr, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Fara Corbett
Address 4789 Mount Ashmun Dr, San Diego, California
Phone Number 6192982098
Fax Number 6192982098
Sole Proprietor Y
Credentials PSYD, MFT

NPI Number Detail

NPI Number 1235239823
Provider Enumeration Date 2006-09-23
Last Updated Date 2019-09-11

Provider Mailing Address Detail

Address 4789 Mount Ashmun Dr
City San Diego
State California (CA)
Post Code 921113952
Phone Number 6192982098
Fax Number 6192982098

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY21669
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
776634000 CA MAGELLAN PIN
352923 CA MHN PROVIDER ID NUMBER
0PL216690 CA TRICARE PIN
0PL216690 CA BLUE SHIELD OF CA PIN
7314642 CA AETNA PIN
PSY216690 CA --

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FAQs about Kimberly Fara Corbett

What is the Kimberly Fara Corbett's unique identification number?

The Kimberly Fara Corbett has been assigned the NPI (National Provider Identifier) Number 1235239823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Kimberly Fara Corbett's facilities are situated?

The facilities of Kimberly Fara Corbett are physically located at the following address: 4789 Mount Ashmun Dr, San Diego, CA, 921113952.

What is the area of specialization for Kimberly Fara Corbett, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kimberly Fara Corbett is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.

On what date did the Kimberly Fara Corbett receive its 1235239823 assignment from the Centers for Medicare & Medicaid Services?

The Kimberly Fara Corbett was assigned its 1235239823 by the Centers for Medicare & Medicaid Services on 2006-09-23.

As of what date were the details pertaining to Kimberly Fara Corbett last refreshed?

The information related to the Kimberly Fara Corbett, including its address, specialty, and other relevant details, was last updated on 2019-09-11.

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