Most Relevant Information
Provider Data
| NPI Number: | 1003220393 |
| Provider Name: | DERIC FLAHERTY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2014 |
| Last Updated: | 06/17/2014 |
Provider Practice Location
162 MAIN ST
PRESQUE ISLE
ME
047692817
Practice Location Phone/Fax
| Phone: | 2077624851 |
| Fax: | 2077646340 |
Provider Mailing Location
162 MAIN ST
PRESQUE ISLE
ME
047692817
Provider Mailing Phone/Fax
| Phone: | 2077624851 |
| Fax: | 2077646340 |