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Individual
DR. MICHAEL BRIAN GROSS
Active
Individual
DR. MICHAEL BRIAN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LPC, CMPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00442900
NJ
103T00000X
Psychologist
35SI00577700
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00577700
NJ
103TE1100X
Exercise & Sports Psychologist
Primary
35SI00577700
NJ
Other
Enumeration date
02/21/2012
Last updated
08/25/2021
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