Individual
MR. ROBERT EDWARD GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
100 RIVER ST, FORTY FORT, PA 18704-5067
(570) 287-7570
(570) 287-7570
Mailing address
100 RIVER ST, FORTY FORT, PA 18704-5067
(570) 287-7570
(570) 287-7570
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005508-L
PA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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