Provider Demographics
NPI:1457754863
Name:FLEXMAN MYERS CLINIC LLC
Entity Type:Organization
Organization Name:FLEXMAN MYERS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:937-256-5300
Mailing Address - Street 1:2621 DRYDEN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1600
Mailing Address - Country:US
Mailing Address - Phone:937-256-5300
Mailing Address - Fax:937-258-4162
Practice Address - Street 1:2621 DRYDEN RD STE 202
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1600
Practice Address - Country:US
Practice Address - Phone:937-256-5300
Practice Address - Fax:937-258-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-29
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6105103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty