Provider Demographics
NPI:1497459754
Name:STIER, GRIFFITH LEE
Entity Type:Individual
Prefix:
First Name:GRIFFITH
Middle Name:LEE
Last Name:STIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GRIFFIE
Other - Middle Name:
Other - Last Name:STIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1413 CONEFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-5802
Mailing Address - Country:US
Mailing Address - Phone:612-280-3510
Mailing Address - Fax:
Practice Address - Street 1:7525 MITCHELL RD STE 100
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-1900
Practice Address - Country:US
Practice Address - Phone:612-924-3807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health