ERICA GRIFFIS PRIME


Address: 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658
Phone: 2488946981

ERICA GRIFFIS PRIME (NPI# 1780154435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780154435
Entity Type Individual
Full Name ERICA GRIFFIS PRIME
Credential LLP
Practice Address 28066 Sunset Blvd W
Lathrup Village
MI 48076-2658
Practice Telephone 2488946981
Mailing Telephone 2488946981
Enumeration Date 2018-11-26
Last Update Date 2019-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
6301010024 MI Behavioral Health & Social Service Providers

Office Location

Street Address 28066 SUNSET BLVD W
City LATHRUP VILLAGE
State MI
Zip Code 48076-2658

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City LATHRUP VILLAGE
Zip Code 48076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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