Basic Information
Provider Information
NPI: 1417240581
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINSLEY
FirstName: MEREDITH
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: MA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PERRY
OtherFirstName: MEREDITH
OtherMiddleName: LYNN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 107 PLAZA DR
Address2:  
City: SAINT CLAIRSVILLE
State: OH
PostalCode: 439508786
CountryCode: US
TelephoneNumber: 7405260204
FaxNumber: 7405260207
Practice Location
Address1: 107 PLAZA DR
Address2:  
City: SAINT CLAIRSVILLE
State: OH
PostalCode: 439508786
CountryCode: US
TelephoneNumber: 7405260204
FaxNumber: 7405260207
Other Information
ProviderEnumerationDate: 05/24/2011
LastUpdateDate: 05/24/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TP0814X  Y Behavioral Health & Social Service ProvidersPsychologistPsychoanalysis

No ID Information.


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