Individual
DR. DEBORAH L GROSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-5645
(989) 774-2073
Mailing address
606 RICHMOND ST, ALMA, MI 48801-1249
(832) 689-1038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1810
TX
103K00000X
Behavior Analyst
7401000585
MI
103TC0700X
Clinical Psychologist
23342
TX
103TC0700X
Clinical Psychologist
Primary
6301015991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699787374
—
MI
Enumeration date
08/12/2006
Last updated
01/14/2020
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