| Doctor Name: | DR. DAVID CORRISS |
| NPI Number: | 1023153699 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 013544 |
| Business Practice Address: | 4 Back River Rd Dover, NH - 038204404 |
| Business Phone Number: | 6037421373 |
| Business Fax Number: | |
| Mailing Address: | 7 Watson Dr, ROCHESTER |
| State: | NH |
| Postal Code: | 038672040 |
| Phone Number: | 6033320017 |
| Fax Number: | 6033324848 |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 013544 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |