Provider Demographics
NPI:1841944592
Name:FLANNERY, KATHRYN GRACE (LPC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:GRACE
Last Name:FLANNERY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 CLIFF MINE RD
Mailing Address - Street 2:SUITE 335
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275
Mailing Address - Country:US
Mailing Address - Phone:412-504-0095
Mailing Address - Fax:412-423-5770
Practice Address - Street 1:1000 CLIFF MINE RD
Practice Address - Street 2:SUITE 335
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275
Practice Address - Country:US
Practice Address - Phone:412-504-0095
Practice Address - Fax:412-423-5770
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014201101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional