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General NPI Number Information
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NPI Number | 1063741833
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Entity Type | Individual
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Provider Name | ELISSA R. GROSS PSY.D
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Gender | Female
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 300 KNICKERBOCKER ROAD, SUITE 3200
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City | CRESSKILL
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State | NJ
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Zip | 07626-1346
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Country | US
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Telephone | 201-871-9339
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Fax |
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Provider Business Mailing Address
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Address Line | 100 UNION AVE FL 1
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City | CRESSKILL
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State | NJ
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Zip | 07626-2141
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Country | US
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Telephone | 201-403-1284
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 013760-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00387300
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License Number State | NJ
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