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Contact Information

MICHAEL B GROSS, PSYD, LPC, CMPC
30 LINDEN AVE APT A
SPRINGFIELD, NJ07081-1836
 Phone: 908-917-9061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL B GROSS · (Male)

NPI # 1932472990
Status Active
Credentials PSYD, LPC, CMPC
Entity Individual
Enumeration date 02/21/2012
Last updated 08/25/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35SI00577700
  • NJ License # 37PC00442900
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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