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NPI Code Detail

MEDICARE: DR. CRYSTAL SIMONE GRIFFIN

MEDICARE:  DR. CRYSTAL SIMONE GRIFFIN
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
1103TS0200XSchool PsychologistLSP.01175OH

General Provider Information

NPI Number : 1649108010
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRYSTAL SIMONE GRIFFIN
Provider Business Mailing Address
First Line : 621 MOUNT VERNON RD
Second Line :
City : NEWARK
State : OH
Zip : 43055-4615
Country : US
Telephone Number : 740-670-7000
Fax Number :
Provider Business Practice Location Address
First Line : 621 MOUNT VERNON RD
Second Line :
City : NEWARK
State : OH
Zip : 43055-4615
Country : US
Telephone Number : 740-670-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ DR. CRYSTAL SIMONE GRIFFIN ” Practice Location

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