Individual
DR. MICHAEL BRIAN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LPC, CMPC
Contact information
Practice address
30 CHATHAM ROAD #803, SHORT HILLS, NJ 07078-0707
(908) 913-0637
Mailing address
30 CHATHAM ROAD #803, SHORT HILLS, NJ 07078-5039
(908) 913-0637
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00442900
NJ
103T00000X
Psychologist
35SI00577700
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00577700
NJ
103TE1100X
Exercise & Sports Psychologist
Primary
35SI00577700
NJ
Other
Enumeration date
02/21/2012
Last updated
08/25/2021
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