Individual
DR. DENISE K. GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6015 111TH ST E, BRADENTON, FL 34211-9468
(941) 756-0292
(941) 756-0161
Mailing address
6015 111TH ST E, BRADENTON, FL 34211-9468
(941) 756-0292
(941) 756-0161
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0004484
FL
103T00000X
Psychologist
PY0004484
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211652900
—
FL
Enumeration date
07/11/2006
Last updated
04/13/2009
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