MEDICARE: MRS. BARBARA ROBINSON GROSSMAN PH.D.

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
1	106H00000X	Marriage & Family Therapist	MFC 22226	CA

General Provider Information

NPI Number	:	1992724470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA ROBINSON GROSSMAN PH.D.

Provider Business Mailing Address
First Line	:	4440 VON KARMAN AVE STE 201
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2011
Country	:	US
Telephone Number	:	949-230-1429
Fax Number	:	949-222-0344

Provider Business Practice Location Address
First Line	:	4440 VON KARMAN AVE STE 201
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2011
Country	:	US
Telephone Number	:	949-230-1429
Fax Number	:	949-222-0344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	04/24/2020

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