Individual
DR. PAMELA BURRI GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3201 UNIVERSITY DR E, SUITE 200, BRYAN, TX 77802-3475
(979) 268-7776
Mailing address
3201 UNIVERSITY DR E, SUITE 200, BRYAN, TX 77802-3475
(979) 268-7776
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
25064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031JK
BC/BS GROUP ID
TX
Enumeration date
05/05/2006
Last updated
01/02/2008
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