Healthcare Provider Details

I. General information

NPI: 1447589759
Provider Name (Legal Business Name): MAIREAD FINN M.S., SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 GRAND AVE STE 300
OAKLAND CA
94612-3705
US

IV. Provider business mailing address

1226 11TH AVE
SAN FRANCISCO CA
94122-2203
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-2131
  • Fax:
Mailing address:
  • Phone: 415-200-7394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP17251
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: