Janis Elizabeth Flynn, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Scituate, MA

NPI 1083965529 · NPPES record last updated Sep 24, 2012

Key facts

NPI
1083965529
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
461 (MA)
Practice address
126 Jericho Rd
Scituate, MA 02066-3558
Phone
(781) 545-6338
Fax
(781) 545-6338
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
461MAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 461 MA Yes

Addresses

Primary practice location

126 Jericho Rd
Scituate, MA 02066-3558

Mailing address

126 Jericho Rd
Scituate, MA 02066-3558
Phone (781) 545-6338

Other providers in Scituate, MA

All providers in Scituate, MA · Speech-Language Pathologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.