Individual
MRS. DIANA GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
60 FARRELL ST, LONG BEACH, NY 11561-2619
(516) 589-1662
Mailing address
60 FARRELL ST, LONG BEACH, NY 11561-2619
(516) 589-1662
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01142
NY
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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