Samuel P Gross is a Clinical in Shelby Township, Michigan. Samuel P Gross practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samuel P Gross is 1114085107. The last update date is 2014-04-04.
Samuel P Gross's current location address is 53950 Van Dyke Ave, Shelby Township, Michigan. You can contact this provider via phone number 5867818400 and fax number 5867818300. The mailing address for Samuel P Gross is 53950 Van Dyke Ave, Shelby Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel P Gross |
|---|---|
| Address | 53950 Van Dyke Ave, Shelby Township, Michigan |
| Phone Number | 5867818400 |
| Fax Number | 5867818300 |
| Sole Proprietor | Y |
| Credentials | MALLP, LPC |
NPI Number Detail
| NPI Number | 1114085107 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2014-04-04 |
Provider Mailing Address Detail
| Address | 53950 Van Dyke Ave |
|---|---|
| City | Shelby Township |
| State | Michigan (MI) |
| Post Code | 483161819 |
| Phone Number | 5867818400 |
| Fax Number | 5867818300 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6801057702 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Samuel P Gross's unique identification number?
The Samuel P Gross has been assigned the NPI (National Provider Identifier) Number 1114085107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Samuel P Gross is geographically located?
The Samuel P Gross is physically situated at the following location: 53950 Van Dyke Ave, Shelby Township, MI, 483161819.
What is Samuel P Gross's area of expertise and its corresponding taxonomy classification?
The Samuel P Gross's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1114085107 to Samuel P Gross?
The Samuel P Gross received its 1114085107 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the Samuel P Gross's information last updated?
The Samuel P Gross's information was last updated on 2014-04-04.
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