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Organization

THE ZIGGURAT GROUP, PA

Active
Other names
Ziggurat Group, Ziggurat Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRY GLENN GROSSMAN PH.D. (LICENSED PSYCHOLOGIST)
(214) 227-7741
Entity
Organization

Contact information

Practice address
17430 CAMPBELL RD STE 112, DALLAS, TX 75252-5297
(214) 227-7741
(214) 432-0494
Mailing address
17430 CAMPBELL RD STE 112, DALLAS, TX 75252-5297
(214) 227-7741
(214) 432-0494

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
25039
TX
103TC2200X
Clinical Child & Adolescent Psychologist
30822
TX
103TC2200X
Clinical Child & Adolescent Psychologist
32169
TX
225X00000X
Occupational Therapist
106089
TX
225X00000X
Occupational Therapist
109716
TX
235Z00000X
Speech-Language Pathologist
100328
TX
235Z00000X
Speech-Language Pathologist
17458
TX
247200000X
Other Technician
0536
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/23/2007
Last updated
04/14/2023
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