Provider Demographics
NPI:1528826062
Name:FLYNN, ALANA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALANA
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALANA
Other - Middle Name:
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:5905 POST RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1905
Mailing Address - Country:US
Mailing Address - Phone:781-910-6200
Mailing Address - Fax:
Practice Address - Street 1:42 MEMORIAL PLZ STE 117
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2943
Practice Address - Country:US
Practice Address - Phone:781-910-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024507103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent