Healthcare Provider Details

I. General information

NPI: 1649191164
Provider Name (Legal Business Name): CATHERINE CHRISTIANNA FLYNN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4241 BARNARD RD
SAGINAW MI
48603-1308
US

IV. Provider business mailing address

7503 FARMINGDALE DR APT 206
DARIEN IL
60561-4766
US

V. Phone/Fax

Practice location:
  • Phone: 800-406-5143
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20044072A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: