Provider Demographics
NPI:1285001883
Name:FINAN, MARY JANE (MA ED)
Entity Type:Individual
Prefix:
First Name:MARY JANE
Middle Name:
Last Name:FINAN
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:1755 TOWN PARK BLVD
Mailing Address - City:GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:44232-0218
Mailing Address - Country:US
Mailing Address - Phone:330-896-7478
Mailing Address - Fax:
Practice Address - Street 1:2250 GRAYBILL RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8118
Practice Address - Country:US
Practice Address - Phone:330-896-7478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool