| Kimberly Corbett, Psy.d., M.f.t. | |
|
4411 30th St Ste 101 San Diego CA 92116-4286 | |
| (619) 298-2098 | |
| (619) 298-2098 |
| Full Name | Kimberly Corbett, Psy.d., M.f.t. |
|---|---|
| Speciality | Psychologist |
| Location | 4411 30th St Ste 101, San Diego, California |
| Authorized Official Name and Position | Kimberly Fara Corbett (PRESIDENT/CEO) |
| Authorized Official Contact | 6192980169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Corbett, Psy.d., M.f.t. 6757 Friars Rd Unit 21 San Diego CA 92108-5013 Ph: (619) 298-0169 | Kimberly Corbett, Psy.d., M.f.t. 4411 30th St Ste 101 San Diego CA 92116-4286 Ph: (619) 298-2098 |
| NPI Number | 1245458132 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 09/15/2007 |
| Medicare PECOS PAC ID | 5193815132 |
|---|---|
| Medicare Enrollment ID | O20071214000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245458132 | NPI | - | NPPES |
| 352923 | Other | CA | CIGNA |
| 7314642 | Other | CA | AETNA |
| MFC395830 | Other | CA | BLUE SHIELD AND TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21669 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC39583 (California) | Secondary |
| Provider Name | Kimberly F Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235239823 PECOS PAC ID: 9830289875 Enrollment ID: I20071214000312 |
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