Individual ProviderJudith FlynnCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave, Medford, MA 02155-4632(781) 396-1199(617) 784-1370PECOS EnrollmentBased on the most recent information from CMS, provider Judith Flynn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1154092633Provider TypeIndividualFull NameFlynn, JudithCredentialM.EDGenderFemaleSole ProprietorYesEnumeration Date9/23/2021Last Updated9/23/2021Contact InformationPractice LocationPractice Address151 Mystic Ave, Medford, MA 02155-4632Phone(781) 396-1199FaxUnlisted FaxMailing LocationMailing Address238 Lexington Ave, Cambridge, MA 02138-2139Phone(617) 784-1370FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer