Doctor Name: | PRISCILLA GRIFFIN |
NPI Number: | 1245266048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 25 |
Business Practice Address: | 1501 Main St #37 Tewksbury, MA - 018764725 |
Business Phone Number: | 9786403831 |
Business Fax Number: | 9786403825 |
Mailing Address: | 1501 Main St, #37 TEWKSBURY |
State: | MA |
Postal Code: | 018764725 |
Phone Number: | 9786403831 |
Fax Number: | 9786403825 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 25 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |