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NPI Code Detail

MEDICARE: DR. CAROLINE MARIE GROSSMANN PH.D., LCSW

MEDICARE: DR. CAROLINE MARIE GROSSMANN PH.D., LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSC00017100NJ
2106H00000XMarriage & Family TherapistFI01036NJ

General Provider Information

NPI Number : 1992700769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE MARIE GROSSMANN PH.D., LCSW
Provider Business Mailing Address
First Line : 9 FOREST DR
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-2529
Country : US
Telephone Number : 973-993-9134
Fax Number :
Provider Business Practice Location Address
First Line : 9 FOREST DR
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-2529
Country : US
Telephone Number : 973-993-9134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 09/30/2011

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