Individual
MS. TIA A FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1601 3RD STREET, COEUR D ALENE, ID 83814
(208) 664-2767
(208) 765-0306
Mailing address
1601 3RD STREET, COEUR D ALENE, ID 83814
(208) 664-2767
(208) 765-0306
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
HA394
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU589
BLUE CROSS OF ID
ID
Enumeration date
03/01/2007
Last updated
07/08/2007
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