| Susan Gross Psyd Pllc | |
|
451 S Eton St Birmingham MI 48009-6524 | |
| (248) 721-4716 | |
| (734) 207-5326 |
| Full Name | Susan Gross Psyd Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 451 S Eton St, Birmingham, Michigan |
| Authorized Official Name and Position | Susan Gross (PSYD/OWNER) |
| Authorized Official Contact | 2487214716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Gross Psyd Pllc 451 S Eton St Birmingham MI 48009-6524 Ph: (248) 721-4716 | Susan Gross Psyd Pllc 451 S Eton St Birmingham MI 48009-6524 Ph: (248) 721-4716 |
| NPI Number | 1275963852 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275963852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | E16510 (Michigan) | Primary |
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