Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERTA BASSETT CORSON, PH.D.
Active Sole ProprietorAdult Development & Aging Psychologist · SAN JOSE, CA
Registration Details
- NPI Number
- 1881802080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2007 (18.924224701847 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PSY18128 (CA)PSY18128 (CA)PSY18128 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4010 MOORPARK AVESUITE 206SAN JOSE, CA, 951174101Browse CA providers · Browse ZIP 95117
- Phone
- 4082471774
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Counseling Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.