Provider Demographics
NPI:1336692003
Name:FLINK, LIZABETH (MA)
Entity Type:Individual
Prefix:
First Name:LIZABETH
Middle Name:
Last Name:FLINK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 LONDON RD STE 204
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2422
Mailing Address - Country:US
Mailing Address - Phone:218-249-0595
Mailing Address - Fax:218-461-3666
Practice Address - Street 1:1420 LONDON RD STE 204
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2422
Practice Address - Country:US
Practice Address - Phone:218-249-0595
Practice Address - Fax:218-461-3666
Is Sole Proprietor?:No
Enumeration Date:2016-07-29
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional