Most Relevant Information
Provider Data
  | NPI Number: | 1003309782 | 
| Provider Name: | PATRICK T GRIGGS | 
| Entity Type: | Individual | 
| Taxonomy Code: | 235Z00000X | 
| Specialty: | Speech-Language Pathologist | 
| License Number: | TL-3063 | 
Most Important Dates
  | Enumeration Date: | 06/07/2018 | 
| Last Updated: | 06/07/2018 | 
Provider Practice Location
  43 ELIZABETH ST
      
      PEMBERTON
      NJ
      080681232
  Practice Location Phone/Fax
      | Phone: | 6093160195 | 
| Fax: | 6093531549 | 
Provider Mailing Location
  43 ELIZABETH ST
      
      PEMBERTON
      NJ
      080681232
  Provider Mailing Phone/Fax
      | Phone: | 6093160195 | 
| Fax: | 8775156711 |