Provider Demographics
NPI:1780423277
Name:FLINNER, GRETCHEN (AUD)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:
Last Name:FLINNER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 HANNA RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-8260
Mailing Address - Country:US
Mailing Address - Phone:304-812-2410
Mailing Address - Fax:
Practice Address - Street 1:2012 GARFIELD AVE STE 4
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2541
Practice Address - Country:US
Practice Address - Phone:304-428-2403
Practice Address - Fax:304-428-3270
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA-0424231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist