Individual
CHASE VAUGHN GROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(810) 606-5126
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
05/26/2021
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