Provider Demographics
NPI:1770994170
Name:FLYNN, GAYLE L (EDD)
Entity type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:L
Last Name:FLYNN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N CARRIE LN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-8412
Mailing Address - Country:US
Mailing Address - Phone:405-427-0918
Mailing Address - Fax:
Practice Address - Street 1:3344 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-6206
Practice Address - Country:US
Practice Address - Phone:405-427-0918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
No101Y00000XBehavioral Health & Social Service ProvidersCounselor