Provider Demographics
NPI:1891495081
Name:CORREA, SONIA XOCHITL (MA PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:XOCHITL
Last Name:CORREA
Suffix:
Gender:F
Credentials:MA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 OXFORD ST STE 208B
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-3119
Mailing Address - Country:US
Mailing Address - Phone:510-776-3984
Mailing Address - Fax:
Practice Address - Street 1:330 OXFORD ST STE 208B
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-3119
Practice Address - Country:US
Practice Address - Phone:510-776-3984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153677106H00000X
CA130077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty