Organization
GROSSMAN & GROSSMAN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS GROSSMAN LPC (ADMINISTRATIVE DIRECTOR)
(602) 410-6635
Entity
Organization
Contact information
Practice address
1707 W SAINT MARYS RD STE 245, TUCSON, AZ 85745-2616
(602) 468-2077
Mailing address
PO BOX 14948, SCOTTSDALE, AZ 85267-4948
(602) 410-6635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157514
—
AZ
Enumeration date
02/04/2016
Last updated
08/11/2022
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