Jennifer Marie Gross in Mill Creek - Clinical

Jennifer Marie Gross - NPI 1023197951

Jennifer Marie Gross is a Clinical in Mill Creek, Washington. Jennifer Marie Gross practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Marie Gross is 1023197951. The last update date is 2023-06-30.

Jennifer Marie Gross's current location address is 15418 Main St, Mill Creek, Washington. You can contact this provider via phone number 4253395453 and fax number 4252524441. The mailing address for Jennifer Marie Gross is 15418 Main St, Mill Creek, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Marie Gross
Address 15418 Main St, Mill Creek, Washington
Phone Number 4253395453
Fax Number 4252524441
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1023197951
Provider Enumeration Date 2006-11-02
Last Updated Date 2023-06-30

Provider Mailing Address Detail

Address 15418 Main St
City Mill Creek
State Washington (WA)
Post Code 980129030
Phone Number 4253395453
Fax Number 4252524441

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PY61194123
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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FAQs about Jennifer Marie Gross

What is the unique 10-digit identifier code issued to Jennifer Marie Gross by the Centers for Medicare & Medicaid Services?

The Jennifer Marie Gross has been assigned the NPI (National Provider Identifier) 1023197951 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Jennifer Marie Gross?

The Jennifer Marie Gross is situated at 15418 Main St, in the city of Mill Creek, state of WA, with the zip code 980129030.

What is Jennifer Marie Gross's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer Marie Gross's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did the Jennifer Marie Gross receive the assignment of its 1023197951 from the Centers for Medicare & Medicaid Services?

The Jennifer Marie Gross was issued its 1023197951 by the Centers for Medicare & Medicaid Services on 2006-11-02.

When was the information pertaining to Jennifer Marie Gross most recently updated or revised?

The details related to Jennifer Marie Gross, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-30.

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