Robert Edward Griffin, PSYCHOLOGIST
Individual provider Active NPI Psychologist · Forty Fort, PA
NPI 1194841247 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194841247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS-005508-L (PA)
- Practice address
- 100 River St
Forty Fort, PA 18704-5067 - Phone
- (570) 287-7570
- Fax
- (570) 287-7570
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005508-L | PA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-005508-L | PA | Yes |
Addresses
Primary practice location
100 River St
Forty Fort, PA 18704-5067
Mailing address
100 River St
Forty Fort, PA 18704-5067
Phone (570) 287-7570
Other providers in Forty Fort, PA
- Charles Patrick Gelso
- Elizabeth Gernhardt
- Roy Walter Gernhardt III
- Harold Thomas Glatz
- Kenneth M Granahan
- Jeanne Ann Grymko
- John Michael Guarnieri
- Louis John Guarnieri
- Nancy M. Guarnieri
- Erica Haefele
All providers in Forty Fort, PA · Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.