Provider Demographics
NPI:1912384470
Name:FLAHERTY, ANNE (MA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:FLAHERTY
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 1:172 SUMMER ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1124
Mailing Address - Country:US
Mailing Address - Phone:413-739-0882
Mailing Address - Fax:413-781-5729
Practice Address - Street 1:130 MAPLE STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103
Practice Address - Country:US
Practice Address - Phone:413-739-0882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health