Healthcare Provider Details

I. General information

NPI: 1124347836
Provider Name (Legal Business Name): MONIQUE FINLEY BSW,PSRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 05/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W RANDOLPH AVE
ENID OK
73701-3828
US

IV. Provider business mailing address

502 W RANDOLPH AVE
ENID OK
73701-3828
US

V. Phone/Fax

Practice location:
  • Phone: 580-233-8000
  • Fax:
Mailing address:
  • Phone: 580-233-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: