Whalio Doctors

NPI 1396907333

Richard S. Gross, Ph.D,,pc

Organisation Clinical Neuropsychologist Decatur, GA

Practice location

Address
2711 Irvin Way Suite 211, Decatur, GA 30030-5405
Phone
(404) 530-9776
Fax
(770) 939-5341
Mailing address
3301 Balmoral Dr, Atlanta, GA 30341-5617

Authorised official

Name
Richard Saul Gross
Title
Clinical Psychologist
Phone
(404) 520-9776

Registered specialties

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 000371 (GA)

Registry record

NPI
1396907333
Entity type
Organization
NPI issued
1 Jul 2008
Record last updated
1 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.