Healthcare Provider Details

I. General information

NPI: 1982108932
Provider Name (Legal Business Name): SHALONDA C. GRIFFIN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARL R. DARNALL ARMY MEDICAL CENTER 590 MEDICAL CENTER ROAD
FORT HOOD TX
76544
US

IV. Provider business mailing address

CARL R. DARNALL ARMY MEDICAL CENTER 590 MEDICAL CENTER ROAD
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-553-3624
  • Fax:
Mailing address:
  • Phone: 254-553-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number840
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: