Organization
RICHARD S. GROSS, PH.D,,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SAUL GROSS PH.D. (CLINICAL PSYCHOLOGIST)
(404) 520-9776
Entity
Organization
Contact information
Practice address
2711 IRVIN WAY, SUITE 211, DECATUR, GA 30030-5405
(404) 530-9776
(770) 939-5341
Mailing address
3301 BALMORAL DR, ATLANTA, GA 30341-5617
(770) 939-5341
(770) 939-5341
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
000371
GA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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