Corson, Roberta Bassett

Corson, Roberta Bassett is an sole proprietor health care provider with primary practice located at 4010 Moorpark Ave Suite 206, San Jose CA 95117-4101. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Corson, Roberta Bassett can be contacted via phone (408) 247-1774.

Contact Information

Primary practice address
4010 Moorpark Ave Suite 206 San Jose CA 95117-4101
Phone: (408) 247-1774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PSY18128 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY18128 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY18128 California

Profile Details

NPI number 1881802080
LBN Legal business name Corson, Roberta Bassett
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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