Luis Abraham Correa, LEP

Individual provider Active NPI School Psychologist · Santa Paula, CA

NPI 1003614744 · NPPES record last updated Mar 7, 2025

Key facts

NPI
1003614744
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
LEP4338 (CA)
Practice address
528 Tibbetts St
Santa Paula, CA 93060-8038
Phone
(951) 214-1388
NPI assigned
Mar 7, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LEP4338CAMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LEP4338 CA Yes

Addresses

Primary practice location

528 Tibbetts St
Santa Paula, CA 93060-8038

Mailing address

528 Tibbetts St
Santa Paula, CA 93060-8038
Phone (951) 214-1388

Other providers in Santa Paula, CA

All providers in Santa Paula, CA · School Psychologist in California

Sources for this page

Verify at the official NPI Registry.