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General NPI Number Information
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NPI Number | 1992256960
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Entity Type | Organization
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Legal Business Name | KATHERINE M FLYNN PSYD PLLC
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 111 N LAST CHANCE GULCH STE 2A
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City | HELENA
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State | MT
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Zip | 59601-4144
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Country | US
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Telephone | 406-443-1990
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Fax | 406-443-1391
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Provider Business Mailing Address
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Address Line | 111 N LAST CHANCE GULCH STE 2A
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City | HELENA
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State | MT
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Zip | 59601-4144
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Country | US
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Telephone | 406-443-1990
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Fax | 406-443-1391
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE M FLYNN
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Credential | PSY.D.
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Telephone | 406-443-1990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-PSY-LIC-1192
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License Number State | MT
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