Provider Demographics
NPI:1447428545
Name:GRIFFING, ALEXANDRA SASCHA (PHD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:SASCHA
Last Name:GRIFFING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ADAMS ST
Mailing Address - Street 2:APT. 8C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2856
Mailing Address - Country:US
Mailing Address - Phone:917-584-0453
Mailing Address - Fax:
Practice Address - Street 1:215 ADAMS ST
Practice Address - Street 2:APT. 8C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2856
Practice Address - Country:US
Practice Address - Phone:917-584-0453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013971103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical