| Richard S. Gross, Ph.d,,pc | |
|
2711 Irvin Way Suite 211 Decatur GA 30030-5405 | |
| (404) 530-9776 | |
| (770) 939-5341 |
| Full Name | Richard S. Gross, Ph.d,,pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2711 Irvin Way, Decatur, Georgia |
| Authorized Official Name and Position | Richard Saul Gross (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4045209776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S. Gross, Ph.d,,pc 3301 Balmoral Dr Atlanta GA 30341-5617 Ph: (770) 939-5341 | Richard S. Gross, Ph.d,,pc 2711 Irvin Way Suite 211 Decatur GA 30030-5405 Ph: (404) 530-9776 |
| NPI Number | 1396907333 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396907333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 000371 (Georgia) | Primary |
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