Individual
DANNY R. GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5000
Mailing address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5000
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
071-003753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NON PARTICIPATING
—
IL
Enumeration date
08/30/2006
Last updated
10/30/2007
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