Provider Demographics
NPI:1346544319
Name:FINLAY, BARRY D (BC HIS ACA)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:D
Last Name:FINLAY
Suffix:
Gender:M
Credentials:BC HIS ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 VIA CAPORATTI DR STE B
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-5095
Mailing Address - Country:US
Mailing Address - Phone:208-237-5322
Mailing Address - Fax:208-478-1455
Practice Address - Street 1:2350 VIA CAPORATTI DR
Practice Address - Street 2:SUITE B
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-5095
Practice Address - Country:US
Practice Address - Phone:208-237-5322
Practice Address - Fax:208-478-1455
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID1040237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist