Provider Demographics
NPI:1134253487
Name:FLOOD, MICHAEL DAVID AUSTIN (M A)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DAVID AUSTIN
Last Name:FLOOD
Suffix:
Gender:M
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 CLEVELAND AVE.
Mailing Address - Street 2:
Mailing Address - City:CHAQMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201
Mailing Address - Country:US
Mailing Address - Phone:717-267-4357
Mailing Address - Fax:717-267-4357
Practice Address - Street 1:550 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3442
Practice Address - Country:US
Practice Address - Phone:717-267-4357
Practice Address - Fax:717-267-4357
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health