Individual
DR. TRACY GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 SW 6TH ST, STUART, FL 34994-2916
(772) 781-7644
(772) 781-7219
Mailing address
201 SW 6TH ST, STUART, FL 34994-2916
(772) 781-7644
(772) 781-7219
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
FL PY 0004935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10746821
CAQH
FL
01
—
FL PY 0004935
FL PSYCHOLOGIST
FL
Enumeration date
08/08/2006
Last updated
07/08/2007
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