Healthcare Provider Details

I. General information

NPI: 1437292257
Provider Name (Legal Business Name): JOE M. FINCH PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 ORBIT DR
LAVON TX
75166-1872
US

IV. Provider business mailing address

273 ORBIT DR
LAVON TX
75166-1872
US

V. Phone/Fax

Practice location:
  • Phone: 214-546-2142
  • Fax:
Mailing address:
  • Phone: 214-546-2142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4077
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number42142
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1727
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: