Provider Demographics
NPI:1316734098
Name:GRIFFIN, SOPHIA PATRICIA (RD)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:PATRICIA
Last Name:GRIFFIN
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:SOPHIA
Other - Middle Name:PATRICIA
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:10 TRENTON ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1576
Mailing Address - Country:US
Mailing Address - Phone:978-305-8191
Mailing Address - Fax:978-305-8191
Practice Address - Street 1:769 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-5166
Practice Address - Country:US
Practice Address - Phone:603-663-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1896133V00000X
133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management