Provider Demographics
NPI:1477840767
Name:FINLEY, VICKIE LEE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:VICKIE
Middle Name:LEE
Last Name:FINLEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62439-2135
Mailing Address - Country:US
Mailing Address - Phone:618-943-2672
Mailing Address - Fax:315-410-6858
Practice Address - Street 1:202 LOCUST LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62439-2135
Practice Address - Country:US
Practice Address - Phone:618-943-2672
Practice Address - Fax:315-410-6858
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.001154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist