Organization
GRICELDA FRAGOSO PSYD A PROFESSIONAL PSYCHOLOGY CORPORATION
Active
Other names
Mind Body Soul Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRICELDA FRAGOSO PSYD (CLINICAL PSYCHOLOGIST/OWNER)
(760) 487-8488
Entity
Organization
Contact information
Practice address
721 N VULCAN AVE STE 209, ENCINITAS, CA 92024-2191
(604) 878-4887
Mailing address
1398 NIGHTSHADE RD, CARLSBAD, CA 92011-3500
(858) 371-1865
(760) 557-2048
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
02/16/2026
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