Provider Demographics
NPI:1689793499
Name:O'FLAHERTY, DEANNE L
Entity type:Individual
Prefix:MS
First Name:DEANNE
Middle Name:L
Last Name:O'FLAHERTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3818 S 189TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-6052
Mailing Address - Country:US
Mailing Address - Phone:402-813-9514
Mailing Address - Fax:
Practice Address - Street 1:11330 Q ST STE 218
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3679
Practice Address - Country:US
Practice Address - Phone:402-892-4122
Practice Address - Fax:402-983-9761
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8139101YM0800X
NE1036101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health