Individual
STEPHANIE L. GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-3708
Mailing address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11393
MA
Other
Enumeration date
11/15/2020
Last updated
01/28/2021
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