Tara Jeanne Flynn | Staten Island, NY • PECOS Search

Tara Jeanne Flynn

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520

PECOS Enrollment

Based on the most recent information from CMS, provider Tara Jeanne Flynn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1952702631
Provider Type
Individual
Full Name
Flynn, Tara Jeanne
Title
Miss
Credential
M.S., CCC-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/11/2014
Last Updated
9/11/2014

Contact Information

Practice Location

1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520

(718) 442-9962

Mailing Location

1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520

(718) 442-9962

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 024057-1 New York