Provider Demographics
NPI:1851261804
Name:FLYNN, ALYSSA (MS, LSP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MS, LSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-2412
Mailing Address - Country:US
Mailing Address - Phone:802-772-7992
Mailing Address - Fax:802-772-0702
Practice Address - Street 1:231 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-2412
Practice Address - Country:US
Practice Address - Phone:802-772-7992
Practice Address - Fax:802-772-0702
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health