Organization
GROSSMAN & GROSSMAN, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A GROSSMAN LPC (ADMINISTRATIVE DIRECTOR)
(602) 410-6635
Entity
Organization
Contact information
Practice address
3420 S MERCY RD STE 109, GILBERT, AZ 85297-0420
(602) 468-2077
Mailing address
PO BOX 14948, SCOTTSDALE, AZ 85267-4948
(602) 468-2077
(480) 609-9552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC5871
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913430
—
AZ
Enumeration date
04/17/2014
Last updated
08/11/2022
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