Provider Demographics
NPI:1043493380
Name:GRIFFITH, CHRISTOPHER WILLIAM (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 WASHINGTON ST
Mailing Address - Street 2:STE 1
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4639
Mailing Address - Country:US
Mailing Address - Phone:603-418-4118
Mailing Address - Fax:
Practice Address - Street 1:58 WASHINGTON ST
Practice Address - Street 2:STE 1
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4639
Practice Address - Country:US
Practice Address - Phone:603-418-4118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1218103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH7706655Y0NH01OtherBHN#
NH99003227Medicaid
NH7706655Y0NH01OtherBHN#