| Doctor Name: | DENISE A FLYNN |
| NPI Number: | 1144308008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, PMHCNS-BC |
| License Number: | RN122363CTP03262RX |
| Business Practice Address: | 3924 Clock Pointe Trl #104 Stow, OH - 442242952 |
| Business Phone Number: | 3304751870 |
| Business Fax Number: | 3304751872 |
| Mailing Address: | Po Box 770578, LAKEWOOD |
| State: | OH |
| Postal Code: | 44107 |
| Phone Number: | 2165716100 |
| Fax Number: | 3304751872 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 06/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | RN122363CTP03262RX |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |