MISS MARISSA MILDRED GRABOWY LEP NPI 1568776912

NPI Information

NPI: 1568776912
Provider Name: MISS MARISSA MILDRED GRABOWY, LEP
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
3899 HAINES ST BLDG 8
SAN DIEGO, CA
ZIP 92109
Phone: (858) 775-2654
Get Directions

MISS Marissa Mildred Grabowy, LEP is an intellectual and developmental disabilities in San Diego, CA. MISS Marissa Mildred Grabowy, LEP NPI is 1568776912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3899 HAINES ST BLDG 8
SAN DIEGO, CA
ZIP 92109-354
Phone: (858) 775-2654
Fax: (858) 246-6874

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		3128	CALIFORNIA	No
2	103TB0200X	Psychologist	Cognitive & Behavioral	3128	CALIFORNIA	No
3	103TC1900X	Psychologist	Counseling	3128	CALIFORNIA	No
4	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			No
5	103TS0200X	Psychologist	School	3128	CALIFORNIA	No
6	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	3128	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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