Provider Demographics
NPI:1831548726
Name:FINLEY, LAURENE
Entity type:Individual
Prefix:
First Name:LAURENE
Middle Name:
Last Name:FINLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LAURENE
Other - Middle Name:Y
Other - Last Name:FINLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2122 N 18TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-1623
Mailing Address - Country:US
Mailing Address - Phone:267-872-2223
Mailing Address - Fax:
Practice Address - Street 1:2122 N 18TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-1623
Practice Address - Country:US
Practice Address - Phone:267-872-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002702L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling