Organization
NOVA M. GRIFFITH, PH.D., PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOVA M GRIFFITH PH.D. (OWNER,LIC. CLINICAL PSYCHOLOGIST)
(618) 969-2922
Entity
Organization
Contact information
Practice address
121 N 13TH ST STE 2, HERRIN, IL 62948-3255
(618) 969-2922
Mailing address
400 E 8TH ST, JOHNSTON CITY, IL 62951-1539
(618) 696-2922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007669
IL
Other
Enumeration date
09/21/2017
Last updated
02/05/2021
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