Provider Demographics
NPI:1508040163
Name:FLANAGAN, PATRICIA EVA
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:EVA
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:EVA
Other - Last Name:FLANAGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DEVELOPMENTAL SPECIA
Mailing Address - Street 1:68 ALLISON AVE
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-6958
Mailing Address - Country:US
Mailing Address - Phone:508-880-0202
Mailing Address - Fax:
Practice Address - Street 1:68 ALLISON AVE
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-6958
Practice Address - Country:US
Practice Address - Phone:508-880-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist