Gross, Denise K.

Gross, Denise K. is an sole proprietor health care provider with primary practice located at 6015 111Th St E , Bradenton FL 34211-9468. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Gross, Denise K. can be contacted via phone (941) 756-0292.

Contact Information

Primary practice address
6015 111Th St E Bradenton FL 34211-9468
Phone: (941) 756-0292
Fax: (941) 756-0161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY0004484 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY0004484 Florida

Profile Details

NPI number 1821023797
LBN Legal business name Gross, Denise K.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Apr 13th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821023797 NPPES
Florida MEDICAID 211652900

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