Healthcare Provider Details

I. General information

NPI: 1780780304
Provider Name (Legal Business Name): ELIZABETH ADELE FINLEY-BELGRAD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 FOREST HILL RD
BOARDMAN OH
44512-1439
US

IV. Provider business mailing address

146 FOREST HILL RD
BOARDMAN OH
44512-1439
US

V. Phone/Fax

Practice location:
  • Phone: 330-782-2438
  • Fax: 330-782-2591
Mailing address:
  • Phone: 330-782-2438
  • Fax: 330-782-2591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number68616
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: