Provider Demographics
NPI:1164775375
Name:FINN, BELINDA CAROL (LMT, CLT)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:CAROL
Last Name:FINN
Suffix:
Gender:F
Credentials:LMT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KIRKHOFF RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-1613
Mailing Address - Country:US
Mailing Address - Phone:410-857-5380
Mailing Address - Fax:
Practice Address - Street 1:200 KIRKHOFF RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21158-1613
Practice Address - Country:US
Practice Address - Phone:410-857-5380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM00087171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor