Roberta Bassett Corson in San Jose - Adult Development & Aging
Roberta Bassett Corson - NPI 1881802080
Roberta Bassett Corson is a Adult Development & Aging in San Jose, California. Roberta Bassett Corson practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Roberta Bassett Corson is 1881802080. The last update date is 2007-07-08.
Roberta Bassett Corson's current location address is 4010 Moorpark Ave, San Jose, California. You can contact this provider via phone number 4082471774. The mailing address for Roberta Bassett Corson is 4010 Moorpark Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roberta Bassett Corson |
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Address | 4010 Moorpark Ave, San Jose, California |
Phone Number | 4082471774 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1881802080 |
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Provider Enumeration Date | 2007-05-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4010 Moorpark Ave |
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City | San Jose |
State | California (CA) |
Post Code | 951174101 |
Phone Number | 4082471774 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adult Development & Aging |
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Taxonomy | 103Ta0700X |
Licence No | PSY18128 |
Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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What is the unique identifier code issued to Roberta Bassett Corson by the Centers for Medicare & Medicaid Services (CMS)?
The Roberta Bassett Corson has been assigned the NPI (National Provider Identifier) 1881802080. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Roberta Bassett Corson's facilities are geographically located?
The facilities of Roberta Bassett Corson are physically situated at the following location: 4010 Moorpark Ave, San Jose, CA, 951174101.
What is Roberta Bassett Corson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roberta Bassett Corson's area of specialization is Adult Development & Aging, and the corresponding taxonomy code that categorizes this field of practice is 103Ta0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881802080 to Roberta Bassett Corson?
The Centers for Medicare & Medicaid Services originally issued the 1881802080 to Roberta Bassett Corson on 2007-05-19.
When was the information related to Roberta Bassett Corson most recently updated or refreshed?
The details pertaining to the Roberta Bassett Corson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1720081763
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