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NPI Code Detail

MEDICARE: ELYSE LENORE GROSSMAN

MEDICARE: ELYSE LENORE GROSSMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistAMFT160164CA

General Provider Information

NPI Number : 1285598813
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELYSE LENORE GROSSMAN
Provider Business Mailing Address
First Line : 111 E ARRELLAGA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1903
Country : US
Telephone Number : 805-882-2400
Fax Number :
Provider Business Practice Location Address
First Line : 111 E ARRELLAGA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-1903
Country : US
Telephone Number : 805-882-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ ELYSE LENORE GROSSMAN ” Practice Location

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