Doctor Name: | DR. MICHAEL D. GRIFFITH |
NPI Number: | 1063684892 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 4813 |
Business Practice Address: | 2421 Allentown Rd Lima, OH - 458051711 |
Business Phone Number: | 4192255238 |
Business Fax Number: | 4192221597 |
Mailing Address: | 2421 Allentown Rd, LIMA |
State: | OH |
Postal Code: | 458051711 |
Phone Number: | 4192255238 |
Fax Number: | 4192221597 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 4813 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |