Provider Demographics
NPI:1548316540
Name:GRIFFIN, PATTI JOAN (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:JOAN
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 E COUNTRY PLZ N
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-3415
Mailing Address - Country:US
Mailing Address - Phone:480-892-4986
Mailing Address - Fax:
Practice Address - Street 1:517 E COUNTRY PLZ N
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-3415
Practice Address - Country:US
Practice Address - Phone:480-892-4986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP#1578235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist