Provider Demographics
NPI:1932958287
Name:GROSS, DEBORAH MCGARRY (MED)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:MCGARRY
Last Name:GROSS
Suffix:
Gender:X
Credentials:MED
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:MCGARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:500 UNIVERSITY DRIVE
Mailing Address - Street 2:MAIL CODE CA410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-1327
Mailing Address - Fax:717-531-0221
Practice Address - Street 1:905 WEST GOVENOR ROAD
Practice Address - Street 2:SUITE 320
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-1327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst