Provider Demographics
NPI:1447264536
Name:GROSSE, SABINA A (PSYD)
Entity type:Individual
Prefix:DR
First Name:SABINA
Middle Name:A
Last Name:GROSSE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:SABINA
Other - Middle Name:ANDREA
Other - Last Name:MOYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:989 GOVERNOR DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4289
Mailing Address - Country:US
Mailing Address - Phone:916-941-6611
Mailing Address - Fax:
Practice Address - Street 1:989 GOVERNOR DR
Practice Address - Street 2:SUITE 101
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-4289
Practice Address - Country:US
Practice Address - Phone:916-941-6611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 21906103TC0700X
CAPSY21906103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist