Provider Demographics
NPI:1154357952
Name:FLANARY, PATRICIA A (MA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:FLANARY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 Y ST
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-6243
Mailing Address - Country:US
Mailing Address - Phone:423-638-2721
Mailing Address - Fax:423-638-3149
Practice Address - Street 1:400 Y ST
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-6243
Practice Address - Country:US
Practice Address - Phone:423-638-2721
Practice Address - Fax:423-638-3149
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1438231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3967150Medicare ID - Type UnspecifiedPROVIDER NUMBER