1679547657 NPI number — BARBARA K FINN LPC

Table of content: BARBARA K FINN LPC (NPI 1679547657)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679547657 NPI number — BARBARA K FINN LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINN
Provider First Name:
BARBARA
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679547657
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 239
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FISHERSVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22939-0239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-932-4629
Provider Business Mailing Address Fax Number:
540-932-5875

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
79 N MEDICAL PARK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FISHERSVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22939-2344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-213-2525
Provider Business Practice Location Address Fax Number:
540-213-2502
Provider Enumeration Date:
02/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701003514 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 085274M . This is a "OPTIMA BEHAVIORAL" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 5635244 . This is a "FIRST HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2030558 . This is a "CIGNA BEHAVIORAL" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 010181411 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 178451 . This is a "ANTHEM BEHAVIORAL" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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