Individual
MR. DALE TIMOTHY FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPA CCCA
Contact information
Practice address
21616 76TH AVE W SUITE 112, EDMONDS, WA 98026-7512
(425) 775-6651
(425) 670-6718
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8338444
—
WA
01
—
9002478
DSHS
—
Enumeration date
08/29/2006
Last updated
11/01/2011
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