Provider Demographics
NPI:1821375379
Name:GRIFFITH, TAMORROW ANIESE (MHS)
Entity Type:Individual
Prefix:MRS
First Name:TAMORROW
Middle Name:ANIESE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17687 PHEASANT LN
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-4981
Mailing Address - Country:US
Mailing Address - Phone:708-990-5674
Mailing Address - Fax:
Practice Address - Street 1:17687 PHEASANT LN
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-4981
Practice Address - Country:US
Practice Address - Phone:708-990-5674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010934235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist