Provider Demographics
NPI:1659980621
Name:MASUR, CORINNE (PSY D)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:MASUR
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2162 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-2709
Mailing Address - Country:US
Mailing Address - Phone:610-827-0887
Mailing Address - Fax:
Practice Address - Street 1:1601 WALNUT ST STE 1408
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2909
Practice Address - Country:US
Practice Address - Phone:215-763-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty