Healthcare Provider Details

I. General information

NPI: 1063658573
Provider Name (Legal Business Name): PETER MICHAEL FINLAY LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 YORK RD SUITE 109
TIMONIUM MD
21093-2271
US

IV. Provider business mailing address

2300 YORK RD SUITE 109
TIMONIUM MD
21093-2271
US

V. Phone/Fax

Practice location:
  • Phone: 443-824-3948
  • Fax:
Mailing address:
  • Phone: 443-824-3948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number05229
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: