Provider Demographics
NPI:1215526314
Name:GRIFFIN, CLAIRE GUIDRY
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:GUIDRY
Last Name:GRIFFIN
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 1:114 GREENSIDE CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7797
Mailing Address - Country:US
Mailing Address - Phone:337-251-1709
Mailing Address - Fax:
Practice Address - Street 1:4511 E LA HWY 338
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-2696
Practice Address - Country:US
Practice Address - Phone:337-937-8110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3973235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist