Provider Demographics
NPI:1174418032
Name:FLAMM, JOANNA SHAW
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:SHAW
Last Name:FLAMM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 HAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-6236
Mailing Address - Country:US
Mailing Address - Phone:612-444-2303
Mailing Address - Fax:
Practice Address - Street 1:470 W 78TH ST STE 220
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-4526
Practice Address - Country:US
Practice Address - Phone:612-444-2303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health