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Contact Information

SUSAN A GROSSBARD, PSY.D.
600 VALLEY RD
SUITE 205
WAYNE, NJ07470-3535
 Phone: 973-715-9446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN A GROSSBARD · (Female)

NPI Number 1164631313
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 05/22/2007
Last updated 02/02/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35S100385300
  • NJ License # 35SI00385300
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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