DR. BRUCE V CORSINO


Address: 12166 Chancery Station Cir, Reston, VA 20190-5803
Phone: 3042630811

DR. BRUCE V CORSINO (NPI# 1881674885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881674885
Entity Type Individual
Full Name DR. BRUCE V CORSINO
Credential PSY. D.
Practice Address 12166 Chancery Station Cir
Reston
VA 20190-5803
Practice Telephone 3042630811
Mailing Telephone 3042630811
Enumeration Date 2006-01-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
505 WV Behavioral Health & Social Service Providers

Office Location

Street Address 12166 CHANCERY STATION CIR
City RESTON
State VA
Zip Code 20190-5803

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1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275916413 Claudia Patricia Amendola Psychologist 1818 Library St Ste 567, Reston, VA 20190-6242 2015-07-07
1578970224 Lauren King Wall Psychologist 1810 Michael Faraday Dr Ste 204, Reston, VA 20190-5330 2014-07-15
1144505082 Abram Sterne Psychologist 11150 Sunset Hills Road, Suite 150, Family Compass, Reston, VA 20190 2011-10-11
1568741841 Tara Luv Travia Psychologist 11250 Roger Bacon Dr Ste 2, Reston, VA 20190-5202 2011-08-04
1083751648 Linda Rose Goglia Psychologist 11333 Sunset Hills Road, Linda R Goglia Phd, Reston, VA 20190-5205 2007-01-31
1043362197 Charles Ernest Burt Psychologist 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 2007-01-17
1952467664 Carlos Durana Psychologist 11417 Tanbark Dr, Reston, VA 20191-4103 2006-12-28
1932269339 Mary Jo Smrekar Psychologist 11231 Handlebar Rd, Reston, VA 20191-3907 2006-12-08
1962578195 Robert P. Rugel Psychologist 11506 Purple Beech Dr, Reston, VA 20191-1328 2006-11-28
1225148976 Sarita Bobrick Kaplan Psychologist 11333 Sunset Hill Road, Reston, VA 20190-5205 2006-08-30
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Competitor

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City RESTON
Zip Code 20190

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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