Provider Demographics
NPI:1750660395
Name:FINN, BEVERLEY A (MFT)
Entity Type:Individual
Prefix:MS
First Name:BEVERLEY
Middle Name:A
Last Name:FINN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 BYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2012
Mailing Address - Country:US
Mailing Address - Phone:510-464-1036
Mailing Address - Fax:
Practice Address - Street 1:37 QUAIL CT STE 100
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5565
Practice Address - Country:US
Practice Address - Phone:510-464-1036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-14
Last Update Date:2015-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37638106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist