Individual
DR. ROBERTA BASSETT CORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4010 MOORPARK AVE, SUITE 206, SAN JOSE, CA 95117-4101
(408) 247-1774
Mailing address
4010 MOORPARK AVE, SUITE 206, SAN JOSE, CA 95117-4101
(408) 247-1774
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
PSY18128
CA
103TC0700X
Clinical Psychologist
PSY18128
CA
103TC1900X
Counseling Psychologist
PSY18128
CA
Other
Enumeration date
05/19/2007
Last updated
09/11/2025
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