Individual
CYNTHIA GRIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
00004315
OH
103TC0700X
Clinical Psychologist
4315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221331
UNISON
OH
01
—
000000510693
ANTHEM
OH
05
—
2168069
—
OH
01
—
363587
WELLCARE MEDICAID
OH
01
—
4559190
AETNA
OH
01
—
620006435
MCR RR
—
01
—
741864
BUCKEYE MEDICAID
OH
Enumeration date
07/12/2006
Last updated
12/29/2020
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