Dr. Kelly J Griffith
Clinical Child & Adolescent Psychologist
1024 W Lakeridge Ave
Stillwater
, Oklahoma 74075-2106
Dr. Kelly J Griffith
Clinical Child & Adolescent Psychologist
1024 W Lakeridge Ave
Stillwater
, Oklahoma 74075-2106
(405) 612-8292
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kelly J Griffith
- 1024 W Lakeridge Ave
- Stillwater, OK
- Zip : 74075-2106
- Phone : (405) 612-8292
Second Address
- Dr. Kelly J Griffith
- 1024 W Lakeridge Ave
- Stillwater, OK
- Zip : 74075-2106
- Phone : (405) 612-8292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 792 | OK |
National Provider Identifier
| NPI | 1003856741 |
|---|---|
| Provider Name | Dr. Kelly J Griffith |
| First Address | Stillwater, OK 74075-2106 |
| Second Address | Stillwater, OK 74075-2106 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.