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General NPI Number Information
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NPI Number | 1194703983
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Entity Type | Individual
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Provider Name | MICHELL L GRIFFITH PSY.D
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Gender | Female
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 509 MEDICAL CENTER ROAD
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City | FT HOOD
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-553-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 36065 SANTA FE AVE
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City | FORT HOOD
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State | TX
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Zip | 76544-5060
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Country | US
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Telephone | 254-553-6655
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39001480A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20042441A
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License Number State | IN
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