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Individual

DR. SETH DAVID GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2929 N. UNIVERSITY DRIVE, SUITE 105, CORAL SPRINGS, FL 33065-5047
(954) 434-1886
(954) 699-0337
Mailing address
2929 N UNIVERSITY DRIVE, SUITE 105, CORAL SPRINGS, FL 33065-5047
(954) 434-1886
(954) 699-0337

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7340
FL
103TP2701X
Group Psychotherapy Psychologist
PY 7340
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75511
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/22/2007
Last updated
05/06/2022
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