Doctor Name: | BENITA CECEILIA GRIFFIN |
NPI Number: | 1174706667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP.D., CCC-SLP |
License Number: | 03948 |
Business Practice Address: | 6431 Rosalie Ln Riverdale, MD - 207371788 |
Business Phone Number: | 4438028869 |
Business Fax Number: | 3015776941 |
Mailing Address: | 6431 Rosalie Ln, RIVERDALE |
State: | MD |
Postal Code: | 207371788 |
Phone Number: | 4438028869 |
Fax Number: | 3015776941 |
NPI Enumeration Date: | 12/07/2007 |
NPI Last Update Date: | 12/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 03948 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |