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NPI Code Detail

MEDICARE: SUSAN DUDLEY GRIFFITH PH.D.

MEDICARE:   SUSAN DUDLEY GRIFFITH  PH.D.
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
1103T00000XPsychologist0813NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588667018
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN DUDLEY GRIFFITH PH.D.
Provider Business Mailing Address
First Line : 187 FARIBAULT LN
Second Line :
City : HILLSBOROUGH
State : NC
Zip : 27278-2557
Country : US
Telephone Number : 919-942-3229
Fax Number :
Provider Business Practice Location Address
First Line : 187 FARIBAULT LN
Second Line :
City : HILLSBOROUGH
State : NC
Zip : 27278-2557
Country : US
Telephone Number : 919-942-3229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 09/21/2021

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Directions to “ SUSAN DUDLEY GRIFFITH PH.D.” Practice Location

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