Provider Demographics
NPI:1114402336
Name:FLAHERTY, ANN M (MED, LPC, CCTP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:MED, LPC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 10TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1143
Mailing Address - Country:US
Mailing Address - Phone:412-849-8771
Mailing Address - Fax:
Practice Address - Street 1:618 10TH ST
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1143
Practice Address - Country:US
Practice Address - Phone:412-767-5342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007884101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional