Provider Demographics
NPI:1992100465
Name:SUTTON, GRIFFIN POLLOCK (PHD)
Entity type:Individual
Prefix:DR
First Name:GRIFFIN
Middle Name:POLLOCK
Last Name:SUTTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 970
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-0970
Mailing Address - Country:US
Mailing Address - Phone:910-803-1434
Mailing Address - Fax:855-672-7002
Practice Address - Street 1:19 S HAMPSTEAD VILLAGE DR
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3934
Practice Address - Country:US
Practice Address - Phone:910-803-1434
Practice Address - Fax:855-672-7002
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4633103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical