Healthcare Provider Details

I. General information

NPI: 1306066154
Provider Name (Legal Business Name): TIFFANY K. FINLEY PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N CHESTNUT ST
RAVENNA OH
44266-2218
US

IV. Provider business mailing address

2811 CANTON RD
UNIONTOWN OH
44685-9701
US

V. Phone/Fax

Practice location:
  • Phone: 330-296-5552
  • Fax:
Mailing address:
  • Phone: 330-699-0922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC8438
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: