MEDICARE: GRIFFIN HARROW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MT4511	FL

General Provider Information

NPI Number	:	1558046276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRIFFIN HARROW

Provider Business Mailing Address
First Line	:	5632 WAR ADMIRAL RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-7734
Country	:	US
Telephone Number	:	561-906-6742
Fax Number	:

Provider Business Practice Location Address
First Line	:	5632 WAR ADMIRAL RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-7734
Country	:	US
Telephone Number	:	561-906-6742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	06/20/2023

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