Provider Demographics
NPI:1336644145
Name:GRIFFIN, SARAH MCDONOUGH (MA OF ED)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MCDONOUGH
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MA OF ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 VANDERBILT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5011
Mailing Address - Country:US
Mailing Address - Phone:781-551-0405
Mailing Address - Fax:781-551-9901
Practice Address - Street 1:101 VANDERBILT AVE
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5011
Practice Address - Country:US
Practice Address - Phone:781-551-0405
Practice Address - Fax:781-551-9901
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist