Organization Name: | GRIFFITH PSYCHOLOGICAL SERVICES LLC |
NPI Number: | 1235439894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PENNY L GRIFFITH (OWNER) |
Mailing Address: | 2622 E Aurora Rd Twinsburg |
State: | OH US |
Postal Code: | 440872150 |
Phone Number: | 3309633600 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 5129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |