Gross, Susan
Gross, Susan is an sole proprietor health care provider with primary practice located at 3601 W 13 Mile Rd Ste Ec , Royal Oak MI 48073-6712. She recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as her primary health care specialty. Gross, Susan can be contacted via phone (248) 898-5058.Contact Information
Primary practice address
3601 W 13 Mile Rd Ste Ec
Royal Oak MI 48073-6712
Phone: (248) 898-5058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 6301013698 | Michigan |
Profile Details
| NPI number | 1376863134 |
|---|---|
| LBN Legal business name | Gross, Susan |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2010 |
| Last updated | Jul 21st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376863134 | NPPES |
| Michigan | Other | 6301013698 | BOARD OF PSYCHOLOGY |
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