Individual
DR. KENT ALAN CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
307 BOATNER RD, SUITE 114, BLDG. 1, EGLIN AFB, FL 32542-1391
(850) 883-8373
(850) 883-8330
Mailing address
82 NAVAJO TRCE, CRESTVIEW, FL 32536-9593
(850) 883-8373
(850) 883-8330
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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