| Mark S Flynn, PSYD | |
|
1543 Kingsley Ave, Suite 18a, Orange Park, FL 32073-4535 | |
| (904) 269-3324 | |
| (904) 264-2302 |
| Full Name | Mark S Flynn |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1543 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972657153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY7164 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY 7164 (Florida) | Secondary |
| Entity Name | Krop-neidigh PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225197544 PECOS PAC ID: 1658535695 Enrollment ID: O20120604000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Flynn, PSYD 1543 Kingsley Ave, Suite 18a, Orange Park, FL 32073-4535 Ph: (904) 269-3324 | Mark S Flynn, PSYD 1543 Kingsley Ave, Suite 18a, Orange Park, FL 32073-4535 Ph: (904) 269-3324 |
Minor Chamblin, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Suite 18a, Orange Park, FL 32073 Phone: 904-269-3324 Fax: 904-264-2302 |
Mrs. Jenny Gamble, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 33 Knight Boxx Rd # 2, Orange Park, FL 32065 Phone: 904-385-9310 |
Ruth J Keili, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3562 Old Village Dr, Orange Park, FL 32065 Phone: 757-812-3776 |
Dr. Angelica Mairim Mangual Ruiz, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1855 Wells Rd Ste 1, Orange Park, FL 32073 Phone: 904-523-1287 Fax: 904-615-6919 |
Dr. Vonda Elizabeth Staten, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Prairie Dunes Ct, Orange Park, FL 32065 Phone: 904-708-7754 |
Carole J Crane, PH.D., PA Psychologist Medicare: Medicare Enrolled Practice Location: 1680 Smith St, Suite 1, Orange Park, FL 32073 Phone: 904-264-7099 |
Dr. Janet Allison Anguas-keiter, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 165 Wells Rd Ste 303, Orange Park, FL 32073 Phone: 904-264-8311 |