Provider Demographics
NPI:1215957717
Name:GRIFFIS, FRANCES WATERS (PSYD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:WATERS
Last Name:GRIFFIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05408-1272
Mailing Address - Country:US
Mailing Address - Phone:954-261-0100
Mailing Address - Fax:802-488-3111
Practice Address - Street 1:86 LAKE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5297
Practice Address - Country:US
Practice Address - Phone:802-865-3450
Practice Address - Fax:902-860-5011
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5664103TC0700X
VT048.0069422103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54201BMedicare PIN