Provider Demographics
NPI:1447309158
Name:FLYNN, MEGAN S (PHD)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:S
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:91 WOODS BROOKE LANE
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598
Mailing Address - Country:US
Mailing Address - Phone:914-962-5593
Mailing Address - Fax:914-962-5599
Practice Address - Street 1:111 N CENTRAL AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1903
Practice Address - Country:US
Practice Address - Phone:914-962-5593
Practice Address - Fax:914-962-5599
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY012078-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY200681OtherHEALTHNET