# BONNIE L GROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467525659
- **Gender:** F
- **Credential:** M.S., M.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | PC009990 | PA | — |
| 231H00000X | Audiologist | AT000179-L | PA | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 11/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01651983 | — | PA |