Jacqui A Coryell, PSY.D. Valid NPI

Individual provider · Clinical Psychologist · Apo, AE

NPI

1528074747

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY20170 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-07-31

Last updated

2012-08-28