Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY2592 | WA |
Y | 103TC0700X | Clinical Psychologist | PY2592 | WA |
NPI | 1003246661 |
---|---|
Provider Name | Dr. Rita Y Flanagan |
First Address | Spokane, WA 99223-7705 |
Second Address | Spokane, WA 99205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2013 |
Last Update Date | 19/11/2013 |