Organization
DEL MAR PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA ILENE GRAN PH.D (PSYCHOLOGIST)
(619) 500-2106
Entity
Organization
Contact information
Practice address
3525 DEL MAR HEIGHTS RD STE 115, SAN DIEGO, CA 92130-2199
(619) 500-2106
Mailing address
3525 DEL MAR HEIGHTS RD STE 115, SAN DIEGO, CA 92130-2199
(619) 500-2106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY33066
LICENSE
CA
Enumeration date
04/28/2026
Last updated
04/29/2026
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