Provider Demographics
NPI:1518274851
Name:FLYNN, ALLISON C (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:C
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:M
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:410 BOSTON POST RD STE 22A
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3013
Mailing Address - Country:US
Mailing Address - Phone:508-208-9563
Mailing Address - Fax:508-358-6054
Practice Address - Street 1:410 BOSTON POST RD STE 22A
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3013
Practice Address - Country:US
Practice Address - Phone:508-208-9563
Practice Address - Fax:508-358-6054
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9691103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical