Healthcare Provider Details

I. General information

NPI: 1710826912
Provider Name (Legal Business Name): GRIFFIN PSYCHOLOGICAL CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 PORTLAND AVE STE 3
WALLA WALLA WA
99362-2396
US

IV. Provider business mailing address

1444 STOVALL RD
WALLA WALLA WA
99362-7310
US

V. Phone/Fax

Practice location:
  • Phone: 503-475-4567
  • Fax:
Mailing address:
  • Phone: 503-475-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA SETH GRIFFIN
Title or Position: CLINICAL DIRECTOR
Credential: MSW, LICSW
Phone: 503-475-4567