Individual
SOLOMON P GROSSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5240 E KNIGHT DR, SUITE 120, TUCSON, AZ 85712-2122
(520) 795-0309
(520) 795-2030
Mailing address
5240 E KNIGHT DR, SUITE 120, TUCSON, AZ 85712-2122
(520) 795-0309
(520) 795-2030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
661
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043394
MANAGED HEALTH NETWORK
AZ
01
—
AZ 0609030
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/09/2005
Last updated
07/08/2007
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