Provider Demographics
NPI:1972519833
Name:FINLEY, ROBERT E (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:FINLEY
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1736 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1811
Mailing Address - Country:US
Mailing Address - Phone:810-231-2060
Mailing Address - Fax:801-288-2269
Practice Address - Street 1:166 E 5900 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-7257
Practice Address - Country:US
Practice Address - Phone:801-266-1412
Practice Address - Fax:801-288-2269
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT106346-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT7475Medicare PIN