Provider Demographics
NPI:1720127764
Name:GRIFFITHS, LISA NICOLA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:NICOLA
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 DEER RUN TRL
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-2486
Mailing Address - Country:US
Mailing Address - Phone:862-432-3806
Mailing Address - Fax:860-548-0041
Practice Address - Street 1:95 DEER RUN TRL
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-2486
Practice Address - Country:US
Practice Address - Phone:862-432-3806
Practice Address - Fax:860-548-0041
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001081106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist