Organization
GROSSMAN PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA (NMN) GROSSMAN PH.D. (CEO)
(858) 560-0900
Entity
Organization
Contact information
Practice address
4550 KEARNY VILLA RD, STE 214, SAN DIEGO, CA 92123-1578
(858) 560-0900
Mailing address
4550 KEARNY VILLA RD, STE 214, SAN DIEGO, CA 92123-1578
(858) 560-0900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5618
CA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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