Individual
RICHARD A GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGIST
Contact information
Practice address
3194 CORE RD, PARKERSBURG, WV 26104-1556
(304) 485-5185
(304) 485-0051
Mailing address
3199 CORE RD, PARKERSBURG, WV 26104-1557
(304) 485-5185
(304) 485-1373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
844
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004635
—
WV
Enumeration date
11/02/2006
Last updated
10/19/2011
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