Individual
ELIZABETH GROISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
21 PLYMOUTH ST, MONTCLAIR, NJ 07042-2607
(201) 341-4926
(973) 746-1922
Mailing address
48 S PARK ST, MONTCLAIR, NJ 07042-2777
(201) 341-4926
(973) 746-1922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638291
—
NY
Enumeration date
07/13/2006
Last updated
09/22/2010
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