Provider Demographics
NPI:1467083949
Name:HUFFORD, CORRINE JOSLYN
Entity Type:Individual
Prefix:
First Name:CORRINE
Middle Name:JOSLYN
Last Name:HUFFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6549 JAFFE CT APT 10
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-2150
Mailing Address - Country:US
Mailing Address - Phone:619-708-8004
Mailing Address - Fax:
Practice Address - Street 1:6549 JAFFE CT APT 10
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-2150
Practice Address - Country:US
Practice Address - Phone:619-708-8004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist