Individual
TONI KATHLEEN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1585 KANSAS AVE, SAN LUIS OBISPO, CA 93405-7604
(805) 781-4614
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4614
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT20592
CA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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