MEDICARE: TERRY LYNN FINLEY MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC16843	CA

General Provider Information

NPI Number	:	1336212711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRY LYNN FINLEY MFT

Provider Business Mailing Address
First Line	:	9022 ADELIA CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-7805
Country	:	US
Telephone Number	:	714-964-9946
Fax Number	:	714-964-9946

Provider Business Practice Location Address
First Line	:	9022 ADELIA CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-7805
Country	:	US
Telephone Number	:	714-964-9946
Fax Number	:	714-964-9946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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