Individual
JENNIFER MAROLA FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
825 FAIRFAX AVE STE 710, NORFOLK, VA 23507-1914
(757) 446-5888
(757) 446-5918
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-8400
(757) 446-8401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005254
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114302601
CIGNA BEHAVIORAL HEALTH
VA
05
—
1114302601
—
VA
Enumeration date
07/24/2015
Last updated
12/29/2017
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