Grossman, Dale Ellen
Grossman, Dale Ellen is an sole proprietor health care provider with primary practice located at 521 Tanglewood Dr , Shoreview MN 55126-2016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grossman, Dale Ellen can be contacted via phone (651) 341-5296.Contact Information
Primary practice address
521 Tanglewood Dr
Shoreview MN 55126-2016
Phone: (651) 341-5296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1654 | Minnesota |
Profile Details
| NPI number | 1578581849 |
|---|---|
| LBN Legal business name | Grossman, Dale Ellen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - 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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