| Nova M. Griffith, Ph.d., Psychological Services Llc | |
|
121 E Broadway Blvd Johnston City IL 62951-1602 | |
| (618) 969-2922 | |
| Not Available |
| Full Name | Nova M. Griffith, Ph.d., Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 121 E Broadway Blvd, Johnston City, Illinois |
| Authorized Official Name and Position | Nova Marie Griffith (OWNER/LISC CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6189692922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova M. Griffith, Ph.d., Psychological Services Llc 400 E 8th St Johnston City IL 62951-1539 Ph: (618) 969-2922 | Nova M. Griffith, Ph.d., Psychological Services Llc 121 E Broadway Blvd Johnston City IL 62951-1602 Ph: (618) 969-2922 |
| NPI Number | 1124610670 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 02/05/2021 |
| Certification Date | 02/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124610670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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