Individual
PATRICIA L GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16055 VENTURA BLVD, SUITE 500, ENCINO, CA 91436-2601
(805) 334-5576
(818) 912-6353
Mailing address
21555 BURBANK BLVD. #41, WOODLAND HILLS, CA 91367-5631
(805) 358-7996
(818) 912-6353
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 9774
CA
103TC0700X
Clinical Psychologist
PSY 9774
CA
Other
Enumeration date
08/09/2006
Last updated
08/05/2016
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