Provider Demographics
NPI:1750619359
Name:GRIFFIN, CRISTIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CRISTIN
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CRISTIN
Other - Middle Name:
Other - Last Name:KRYZAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:763 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3329
Mailing Address - Country:US
Mailing Address - Phone:781-606-2336
Mailing Address - Fax:
Practice Address - Street 1:763 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3329
Practice Address - Country:US
Practice Address - Phone:781-606-2336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9087103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical