Doctor Name: | THOMAS FLYNN |
NPI Number: | 1013255512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2608 |
Business Practice Address: | 3332 Bridges St Ste A Morehead City, NC - 285573296 |
Business Phone Number: | 2527269006 |
Business Fax Number: | 2527264325 |
Mailing Address: | 3332 Bridges St Ste A, MOREHEAD CITY |
State: | NC |
Postal Code: | 285573296 |
Phone Number: | 2527269006 |
Fax Number: | 2527264325 |
NPI Enumeration Date: | 01/18/2013 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |