Individual
SUSAN DUDLEY GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0813
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000428
—
NC
Enumeration date
05/30/2005
Last updated
09/21/2021
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