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NPI 1215957717

NPI 1215957717 : FRANCES WATERS GRIFFIS PSY.D. : BURLINGTON, VT

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General NPI Number Information
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    NPI Number           |    1215957717
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCES WATERS GRIFFIS PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/20/2006
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    Last Update Date     |    01/07/2011
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Provider Practice Location Address
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    Address Line         |    86 LAKE ST 
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    City                 |    BURLINGTON
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    State                |    VT
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    Zip                  |    05401-5297
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    Country              |    US
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    Telephone            |    802-865-3450
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    Fax                  |    902-860-5011
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Provider Business Mailing Address
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    Address Line         |    126 NORTHSHORE DR 
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    City                 |    BURLINGTON
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    State                |    VT
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    Zip                  |    05408-1272
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    Country              |    US
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    Telephone            |    954-261-0100
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    Fax                  |    802-488-3111
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PY5664
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    048.0069422
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    License Number State |    VT
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