Provider Demographics
NPI:1740580091
Name:FLANAGAN, ELIZABETH H (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:H
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:H
Other - Last Name:FLANAGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:350 PHOENIXVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06235-2419
Mailing Address - Country:US
Mailing Address - Phone:888-316-5221
Mailing Address - Fax:866-203-2138
Practice Address - Street 1:350 PHOENIXVILLE RD
Practice Address - Street 2:
Practice Address - City:CHAPLIN
Practice Address - State:CT
Practice Address - Zip Code:06235-2419
Practice Address - Country:US
Practice Address - Phone:888-316-5221
Practice Address - Fax:866-203-2138
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002712103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical