| NPI | 1265779292 |
|---|---|
| Former Legal Business Name | GARY A. GROSSMAN, PH.D. |
| Entity Type | Organization |
| Authorized Contact | GARY A GROSSMAN President 469-443-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 31274) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |