Healthcare Provider Details

I. General information

NPI: 1699315960
Provider Name (Legal Business Name): NATALIE KAY-FLAHERTY ATR-P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 E ANNABELLE AVE
HAZEL PARK MI
48030-1236
US

IV. Provider business mailing address

976 E ANNABELLE AVE
HAZEL PARK MI
48030-1236
US

V. Phone/Fax

Practice location:
  • Phone: 313-306-4167
  • Fax:
Mailing address:
  • Phone: 313-306-4167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number24786
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: