Provider Demographics
NPI:1639358278
Name:FINNEGAN, MARTA (MA)
Entity Type:Individual
Prefix:MS
First Name:MARTA
Middle Name:
Last Name:FINNEGAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37757-4213
Mailing Address - Country:US
Mailing Address - Phone:865-306-2882
Mailing Address - Fax:
Practice Address - Street 1:327 CEDAR CIR
Practice Address - Street 2:
Practice Address - City:JACKSBORO
Practice Address - State:TN
Practice Address - Zip Code:37757-4213
Practice Address - Country:US
Practice Address - Phone:865-306-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health