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Fred M Gross, PsyD

Psychologist in Moorestown, NJ. Individual provider (NPI-1).

NPI number1710071279
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1710071279
Entity type
Individual (NPI-1)
Name
Fred M Gross
Credential
PsyD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist35SI00302000NJYes

Practice location

715 E Main St
Moorestown, NJ 08057-3031

Phone 856-222-1840

Mailing address

715 E Main St
Moorestown, NJ 08057-3031

Phone 856-222-1840

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