Elyse Flynn, CCC-SLP
Speech-Language Pathologist, in Bonnerdale, AR. Individual provider (NPI-1).
NPI number1962017442
StatusActive
Last updated in NPPESApr 16, 2023
Details
- NPI
- 1962017442
- Entity type
- Individual (NPI-1)
- Name
- Elyse Flynn
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2020
- Certification date
- Apr 16, 2023
- Last updated
- Apr 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 13314853-4102 | UT | Yes |
Practice location
182 Elder TrlBonnerdale, AR 71933-6852
Phone 801-432-0748
Mailing address
182 Elder TrlBonnerdale, AR 71933-6852
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