Provider Demographics
NPI:1356683130
Name:FLANAGAN, LYNN (MCD, CFY-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:MCD, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 15TH ST
Mailing Address - Street 2:6TH FLOOR WEST
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-721-5223
Mailing Address - Fax:706-721-5228
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:6TH FLOOR WEST
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-5223
Practice Address - Fax:706-721-5228
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist