Provider Demographics
NPI:1851009757
Name:GRIFFITH-TWOMEY, JENNIFER LEA
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEA
Last Name:GRIFFITH-TWOMEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26385 ADRIAN AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-3005
Mailing Address - Country:US
Mailing Address - Phone:530-364-7754
Mailing Address - Fax:
Practice Address - Street 1:40 SEENO ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5855
Practice Address - Country:US
Practice Address - Phone:510-821-1838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health