Individual
DANIEL G GRIFFES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
194 MAIN ST, SUITE 109, NEWPORT, VT 05855-6104
(802) 334-7549
(704) 987-4449
Mailing address
PO BOX 1022, NEWPORT, VT 05855-5022
(802) 334-7549
(704) 987-8746
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000293
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002633
—
VT
01
—
2039196
CIGNA
VT
01
—
2633
BLUE CROSS BLUE SHIELD
VT
05
—
GR VT2633
—
VT
Enumeration date
11/01/2006
Last updated
07/08/2007
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