Provider Demographics
NPI:1063769123
Name:GRIFFITH, CHELSEA MICHELLE (MA)
Entity type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:MICHELLE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CATHERINE CT
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2113
Mailing Address - Country:US
Mailing Address - Phone:347-951-4600
Mailing Address - Fax:
Practice Address - Street 1:3 CATHERINE CT
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2113
Practice Address - Country:US
Practice Address - Phone:347-951-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist