Provider Demographics
NPI:1467489328
Name:GROSSMAN, FRANCES K (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:K
Last Name:GROSSMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 HUNTINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2416
Mailing Address - Country:US
Mailing Address - Phone:617-332-6505
Mailing Address - Fax:
Practice Address - Street 1:61 HUNTINGTON RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2416
Practice Address - Country:US
Practice Address - Phone:617-332-6505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist