Individual
GLENN GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 CAMPUS RD, LOS ANGELES, CA 90041-3314
(323) 259-2799
Mailing address
1600 CAMPUS RD, LOS ANGELES, CA 90041-3314
(626) 497-4134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12813
CA
103TF0200X
Forensic Psychologist
PSY12813
CA
Other
Enumeration date
10/12/2012
Last updated
10/13/2023
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