Individual
DR. SUSAN A. GROSSBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
600 VALLEY RD, SUITE 205, WAYNE, NJ 07470-3535
(973) 715-9446
Mailing address
70 HERSHEY RD, WAYNE, NJ 07470-5536
(973) 715-9446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100385300
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00385300
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00385300
NJ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
35SI00385300
NJ
103TS0200X
School Psychologist
35SI00385300
NJ
Other
Enumeration date
05/22/2007
Last updated
02/02/2010
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