Individual
HENRY RANDALL GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1222
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051519003
BLUE CROSS
AL
05
—
051554327
—
AL
01
—
P00226576
RAILROAD MEDICARE
AL
Enumeration date
08/04/2006
Last updated
01/12/2024
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