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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL P GROSS, MALLP, LPC, CSW

Active Sole Proprietor

MR. SAMUEL P GROSS, MALLP, LPC, CSW is a Clinical Psychologist healthcare provider located in SHELBY TOWNSHIP, Michigan. NPI 1114085107 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SHELBY TOWNSHIP, MI

Registration Details

NPI Number
1114085107
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2006 (19.665833777711 yrs)
Last Updated
Apr 4, 2014
License
6801057702 (MI)
Sole Proprietor
Yes

Practice Information

Address
53950 VAN DYKE AVE
SUITE 210B
SHELBY TOWNSHIP, MI, 483161819
Browse MI providers · Browse ZIP 48316
Phone
5867818400
Fax
5867818300
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SHELBY TOWNSHIP, MI

Name Credential NPI
DR. TERI MITCHEL HIBBARD PH.D. 1457331696
DR. GARY JOSEPH FUSCIARDI PHD 1245299361
LISA MICHELLE IRWIN PSY. D 1740371442
CHRISTINE HOMER MS LLP 1003902487
MR. SHARON NADINE RUDE MSW 1972661122
RACHELLE ANN NEUMANN LLP 1730247610
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.