Organization Name: | MARY ELLEN GRIFFIN PH.D. INC. |
NPI Number: | 1093022956 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ELLEN GRIFFIN (PRESIDENT) |
Mailing Address: | 11 Schulman St Sylva |
State: | NC US |
Postal Code: | 287798204 |
Phone Number: | 8285865511 |
Fax Number: | 8285865511 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |