Provider Demographics
NPI:1326812322
Name:GRIFFIN, CRYSTAL (CLC)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1119
Mailing Address - Country:US
Mailing Address - Phone:774-254-4436
Mailing Address - Fax:
Practice Address - Street 1:577 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1119
Practice Address - Country:US
Practice Address - Phone:774-254-4436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN