MEDICARE: DR. MELISSA FINCH PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1064	WA

General Provider Information

NPI Number	:	1235460791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA FINCH PH.D.

Provider Business Mailing Address
First Line	:	4105 E MADISON ST
Second Line	:	SUITE 210
City	:	SEATTLE
State	:	WA
Zip	:	98112-3291
Country	:	US
Telephone Number	:	425-954-5439
Fax Number	:

Provider Business Practice Location Address
First Line	:	4105 E MADISON ST
Second Line	:	SUITE 210
City	:	SEATTLE
State	:	WA
Zip	:	98112-3291
Country	:	US
Telephone Number	:	425-954-5439
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2010
Last Update Date	:	07/14/2014

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