| Elizabeth Flynn, Pllc | |
|
3400 1st St N Ste 300 Saint Cloud MN 56303-1927 | |
| (320) 493-3046 | |
| Not Available |
| Full Name | Elizabeth Flynn, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3400 1st St N Ste 300, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Elizabeth Jo Flynn (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3204933046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Flynn, Pllc 401 19th Ave N Sartell MN 56377-1680 Ph: (320) 493-3046 | Elizabeth Flynn, Pllc 3400 1st St N Ste 300 Saint Cloud MN 56303-1927 Ph: (320) 493-3046 |
| NPI Number | 1346795077 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 08/23/2016 |
| Medicare PECOS PAC ID | 4082900162 |
|---|---|
| Medicare Enrollment ID | O20160916000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346795077 | NPI | - | NPPES |
| 1396175105 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Minnesota) | Primary |
| Provider Name | Elizabeth J Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396175105 PECOS PAC ID: 5799911483 Enrollment ID: I20131203000355 |
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