Provider Demographics
NPI:1992724470
Name:GROSSMAN, BARBARA ROBINSON (PHD)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ROBINSON
Last Name:GROSSMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 VON KARMAN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2011
Mailing Address - Country:US
Mailing Address - Phone:949-230-1429
Mailing Address - Fax:949-222-0344
Practice Address - Street 1:4440 VON KARMAN AVE STE 201
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2011
Practice Address - Country:US
Practice Address - Phone:949-230-1429
Practice Address - Fax:949-222-0344
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 22226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist