MEDICARE: DR. HOLLY JOAN FINCHER 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	103T00000X	Psychologist	PSY18922	CA

General Provider Information

NPI Number	:	1902831209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOLLY JOAN FINCHER PH.D.

Provider Business Mailing Address
First Line	:	1311 N TOWNER ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-3748
Country	:	US
Telephone Number	:	714-288-0616
Fax Number	:

Provider Business Practice Location Address
First Line	:	748 E CHAPMAN AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92866-1621
Country	:	US
Telephone Number	:	714-288-0616
Fax Number	:

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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