Individual
DR. RUSSELL ELROY GROSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2923 W ALLEN ST, ALLENTOWN, PA 18104-4703
(610) 248-4891
Mailing address
2923 W ALLEN ST, ALLENTOWN, PA 18104-4703
(610) 248-4891
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS005980L
PA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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