NPI 1174880959

Jonathan Drew Gross, PSYD

Practitioner Clinical Neuropsychologist Jacksonville, FL

Practice location

Address: 9310 Old Kings Rd S Suite 102, Jacksonville, FL 32257-6152
Phone: (904) 437-5176
Fax: (904) 438-3175

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PY 8505 (FL)

Other Clinical Neuropsychologist providers in Florida →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY 8505 (FL)

Other Psychologist providers in Florida →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY003602 (GA)

Registry record

NPI: 1174880959
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2012
Record last updated: 11 Sep 2013

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.