Individual
ANDREW MEADE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
7464 MAPLE AVE, MAPLEWOOD, MO 63143-3030
(910) 619-8565
(866) 453-9441
Mailing address
7464 MAPLE AVE, MAPLEWOOD, MO 63143-3030
(910) 619-8565
(866) 453-9441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012446
IL
235Z00000X
Speech-Language Pathologist
6417
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412532
—
NC
Enumeration date
03/10/2006
Last updated
11/19/2015
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