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Individual

DR. ANYA THERESA GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(404) 749-7118
Mailing address
4565 DON TIMOTEO DR, LOS ANGELES, CA 90008-4112
(310) 902-2580

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY003054
GA
103TC0700X
Clinical Psychologist
PSY26890
CA
207L00000X
Anesthesiology Physician
Primary
PSY26890
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
823363106
GA
Enumeration date
02/04/2008
Last updated
06/04/2015
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