Organization
GROSSMAN PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNIE GROSSMAN LCSW (PSYCHOTHERAPIST/OWNER)
(973) 919-4735
Entity
Organization
Contact information
Practice address
318 MAIN ST, SUITE 205, MILLBURN, NJ 07041-1181
(973) 919-4735
Mailing address
318 MAIN ST, SUITE 205, MILLBURN, NJ 07041-1181
(973) 919-4735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC0562080
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407191000
NPPES
—
Enumeration date
06/26/2015
Last updated
06/26/2015
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