Provider Information for 1700958295
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KATHERINE JANE FLYNN LPC, LADC
Sex: Female
NPI: 1700958295
Last Updated: 2012-05-30
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1700958295 | ||||||||||||
Enumeration Date | 2006-11-14 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 5009 EXCELSIOR BLVD STE 134 ST LOUIS PARK, MN 55416-3049 United States Phone: 612-819-5326 | Fax: | ||||||||||||
Primary Practice Address | 5009 EXCELSIOR BLVD STE 134 ST LOUIS PARK, MN 55416-3049 United States Phone: 612-819-5326 | Fax: | ||||||||||||
Secondary Practice Address(es) | |||||||||||||
Health Information Exchange |
| ||||||||||||
Other Identifiers |
| ||||||||||||
Taxonomy |
|