Individual
DR. GEORGE JOSEPH GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD PSYCH
Contact information
Practice address
24100 SORREL COURT, TEHACHAPI, CA 93561
(661) 822-9011
(661) 822-0476
Mailing address
24100 SORREL COURT, TEHACHAPI, CA 93561
(661) 822-9011
(661) 822-0476
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY10108
CA
103TC0700X
Clinical Psychologist
PSY10108
CA
103TF0200X
Forensic Psychologist
Primary
PSY10108
CA
103TP0016X
Prescribing (Medical) Psychologist
—
—
Other
Enumeration date
05/29/2007
Last updated
03/14/2023
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