Provider Demographics
NPI:1154036887
Name:GRIFFIN, DONNA (MS ED)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1133
Mailing Address - Country:US
Mailing Address - Phone:610-308-5704
Mailing Address - Fax:
Practice Address - Street 1:201 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2926
Practice Address - Country:US
Practice Address - Phone:484-474-0388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-17
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UNDER-SUPERVISION101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor