Individual
DR. DANIEL R GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1155 W GROVE PKWY, APT. 329, TEMPE, AZ 85283-4409
(800) 577-4701
Mailing address
3843 S BRISTOL ST, #459, SANTA ANA, CA 92704-7426
(800) 577-4701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4523
AZ
103T00000X
Psychologist
PY60495640
WA
Other
Enumeration date
08/12/2011
Last updated
09/18/2015
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