Individual
PATRICIA ANN FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1017 W GLEN OAKS LN, SUITE 201, MEQUON, WI 53092-3371
(262) 241-3698
(262) 241-3359
Mailing address
1017 W GLEN OAKS LN, SUITE 201, MEQUON, WI 53092-3371
(262) 241-3698
(262) 241-3359
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
650-125
WI
103TC0700X
Clinical Psychologist
Primary
2695-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41005900
—
WI
05
—
42247200
—
WI
Enumeration date
11/01/2006
Last updated
04/08/2008
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