Provider Demographics
NPI:1013200526
Name:GRIFFIN, WHITNEY DAWN (BS, MA)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:DAWN
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 MANCHESTER SQUARE SHPG CTR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-8700
Mailing Address - Country:US
Mailing Address - Phone:606-598-7673
Mailing Address - Fax:606-599-8549
Practice Address - Street 1:376 MANCHESTER SQUARE SHPG CTR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-8700
Practice Address - Country:US
Practice Address - Phone:606-598-7673
Practice Address - Fax:606-599-8549
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist