Organization
NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLC
Active
Parent organization
NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLC
Authorized official
DR. NOVA MARIE GRIFFITH PHD (OWNER/LISC CLINICAL PSYCHOLOGIST)
(618) 969-2922
Entity
Organization
Contact information
Practice address
121 E BROADWAY BLVD, JOHNSTON CITY, IL 62951-1602
(618) 969-2922
Mailing address
400 E 8TH ST, JOHNSTON CITY, IL 62951-1539
(618) 969-2922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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