Individual
DANIELLE JANSEN GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PPS
Contact information
Practice address
10293 BLOOMFIELD ST, LOS ALAMITOS, CA 90720-2264
(562) 799-4700
Mailing address
10293 BLOOMFIELD ST, LOS ALAMITOS, CA 90720-2264
(562) 799-4700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240169424
CA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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