Provider Demographics
NPI:1528180973
Name:GROSSMAN, ALISON B (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:B
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 1:1108 KANE CONCOURSE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2068
Mailing Address - Country:US
Mailing Address - Phone:305-856-8559
Mailing Address - Fax:305-285-9430
Practice Address - Street 1:1108 KANE CONCOURSE
Practice Address - Street 2:SUITE 207
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2068
Practice Address - Country:US
Practice Address - Phone:305-856-8559
Practice Address - Fax:305-285-9430
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6417103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical