Doctor Name: | MS. MARY ANN FLICKINGER |
NPI Number: | 1518996362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA MED LPCC LSW NCC |
License Number: | E2816 |
Business Practice Address: | 1324 State Route 125 Suite 202 Amelia, OH - 451021360 |
Business Phone Number: | 5137525103 |
Business Fax Number: | 5139479103 |
Mailing Address: | 2504 Montana Avenue, CINCINNATI |
State: | OH |
Postal Code: | 452113766 |
Phone Number: | 5136621306 |
Fax Number: | 5139479103 |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E2816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |