Individual
MS. MARY ELIZABETH GROSSCUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
5353 GAMBLE DR STE 395, ST LOUIS PARK, MN 55416-1510
(952) 259-1351
(952) 925-5972
Mailing address
11953 BRADFORD RD, MINNETONKA, MN 55343-8860
(952) 259-1351
(952) 925-5972
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3335
MN
Other
Enumeration date
01/14/2007
Last updated
07/21/2022
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