Healthcare Provider Details

I. General information

NPI: 1114842515
Provider Name (Legal Business Name): MARIANNE FLEUR OPLE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 MINDANAO ST
NATIONAL CITY CA
91950-1647
US

IV. Provider business mailing address

204 MINDANAO ST
NATIONAL CITY CA
91950-1647
US

V. Phone/Fax

Practice location:
  • Phone: 619-200-1364
  • Fax: 619-200-1364
Mailing address:
  • Phone: 619-200-1364
  • Fax: 619-200-1364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number36886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: