Provider Demographics
NPI:1932116308
Name:GRIFFITHS, SUE B (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:B
Last Name:GRIFFITHS
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 1:420 S DIXIE HWY STE 4A
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2228
Mailing Address - Country:US
Mailing Address - Phone:305-666-7353
Mailing Address - Fax:305-666-7353
Practice Address - Street 1:420 S DIXIE HWY STE 4A
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2228
Practice Address - Country:US
Practice Address - Phone:305-666-7353
Practice Address - Fax:305-666-7353
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003434103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL089584OtherVALUE OPTIONS
FL75503OtherBLUE CROSS BLUE SHIELD