Individual
MS. PHYLLIS ANN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
2345 E THOMAS RD, SUITE 360, PHOENIX, AZ 85016-7848
(602) 468-2077
(480) 609-9688
Mailing address
5929 E CHARTER OAK RD, SCOTTSDALE, AZ 85254-4348
(602) 410-6635
(480) 609-9552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1814
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
964561
AHCCS PROVIDER ID
AZ
Enumeration date
01/19/2007
Last updated
07/08/2007
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