Provider Demographics
NPI:1700397148
Name:PATRICIA R GRIFFIN PHD
Entity Type:Organization
Organization Name:PATRICIA R GRIFFIN PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:REIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-590-3230
Mailing Address - Street 1:2122 ROUTE 6
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6156
Mailing Address - Country:US
Mailing Address - Phone:855-330-7070
Mailing Address - Fax:845-231-6078
Practice Address - Street 1:11 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1545
Practice Address - Country:US
Practice Address - Phone:855-330-7070
Practice Address - Fax:845-231-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty