Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK EVERETT GROSS, EDD
ActiveDR. JACK EVERETT GROSS, EDD is a Clinical Psychologist healthcare provider located in CONCORD, North Carolina. NPI 1356632582 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CONCORD, NC
Registration Details
- NPI Number
- 1356632582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2011 (15.278737753537 yrs)
- Last Updated
- Dec 16, 2019
- Licenses
-
13823 (NC)1738 (NC)
Practice Information
- Address
-
101 CABARRUS AVE ECONCORD, NC, 280253699Browse NC providers · Browse ZIP 28025
- Phone
- 8888497379
- Fax
- 8558577333
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in CONCORD, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. EILEEN KEIPPER | MA | 1447249958 |
| DR. WILLIAM SCOTT CRAIG | PSY.D. | 1992794382 |
| DR. CHARLES J SCHMITTDIEL | PHD | 1902889520 |
| SUSAN B CRAWLEY | PHD | 1861468795 |
| MR. MARCUS B. DAVIS | LPA | 1063461515 |
| DR. CHRISTOPHER JON RUNGE | PH.D. | 1881640852 |
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.