Healthcare Provider Details

I. General information

NPI: 1346305406
Provider Name (Legal Business Name): MICHAEL HOWARD FLYNN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 N LOCUST ST APT 5
DENTON TX
76201-3050
US

IV. Provider business mailing address

1405 N LOCUST ST APT 5
DENTON TX
76201-3050
US

V. Phone/Fax

Practice location:
  • Phone: 940-566-3285
  • Fax: 940-566-3290
Mailing address:
  • Phone: 940-566-3285
  • Fax: 940-566-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number22208
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number22208
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: