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Contact Information

DR. MIKE GROSS, LLC
30 CHATHAM ROAD #803
SHORT HILLS, NJ07078-0707
 Phone: 908-913-0637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DR MIKE GROSS LLC · (Female)

NPI Number 1386122489
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2018
Last updated 08/26/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 35SI00577700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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