Gross, Jonathan Drew

Gross, Jonathan Drew is an sole proprietor health care provider with primary practice located at 9310 Old Kings Rd S Suite 102, Jacksonville FL 32257-6152. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gross, Jonathan Drew can be contacted via phone (904) 437-5176.

Contact Information

Primary practice address
9310 Old Kings Rd S Suite 102 Jacksonville FL 32257-6152
Phone: (904) 437-5176
Fax: (904) 438-3175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY 8505 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 8505 Florida
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY003602 Georgia

Profile Details

NPI number 1174880959
LBN Legal business name Gross, Jonathan Drew
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2012
Last updated Sep 11th, 2013 - about 12 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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