Provider Demographics
NPI:1841488913
Name:FLAHERTY, EILEEN (LMFT)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CHERRY ST
Mailing Address - Street 2:SUITE A1
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2832
Mailing Address - Country:US
Mailing Address - Phone:978-762-0500
Mailing Address - Fax:978-762-0505
Practice Address - Street 1:25 CHERRY ST
Practice Address - Street 2:SUITE A1
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2832
Practice Address - Country:US
Practice Address - Phone:978-762-0500
Practice Address - Fax:978-762-0505
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-13
Last Update Date:2007-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1115106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist