Provider Demographics
NPI:1154316115
Name:FINNEY, KIMBERLY (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:FINNEY
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O BOX 31309
Mailing Address - Street 2:SUITE 9518 UNIT 86
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-4805
Mailing Address - Country:US
Mailing Address - Phone:323-442-9062
Mailing Address - Fax:626-457-4125
Practice Address - Street 1:1301 W 34TH STREET SUITE 500
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-5399
Practice Address - Country:US
Practice Address - Phone:213-821-6500
Practice Address - Fax:808-449-0195
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20041623A103TC0700X
CAPSY28595103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD-000Medicare UPIN