Provider Demographics
NPI:1881785145
Name:FLANNES, STEVEN W (PHD CLINICAL PSYCH)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:FLANNES
Suffix:
Gender:
Credentials:PHD CLINICAL PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6114 LA SALLE AVE #473
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611
Mailing Address - Country:US
Mailing Address - Phone:510-421-3981
Mailing Address - Fax:510-654-9319
Practice Address - Street 1:1980 MOUNTAIN BLVD, SUITE 201
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611
Practice Address - Country:US
Practice Address - Phone:510-421-3981
Practice Address - Fax:510-654-9319
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7139103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist