Doctor Name: | MR. PHILIP GRIFFITH |
NPI Number: | 1154351104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 34553 |
Business Practice Address: | Madigan Healthcare System, Jblm, WA - 98431 |
Business Phone Number: | 6187195521 |
Business Fax Number: | |
Mailing Address: | 3239 Ridge Dr, BEALE AFB |
State: | CA |
Postal Code: | 959032140 |
Phone Number: | 6187195521 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |