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Individual

KATHLEEN M FINNEGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3619 PARK EAST DR, SUITE 316, BEACHWOOD, OH 44122-4330
(216) 591-0500
(216) 591-0550
Mailing address
3872 E HARBOR LIGHT LANDING DR, SUITE 316, PORT CLINTON, OH 43452-3877
(419) 734-3333
(877) 734-2030

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5020
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000137844
ANTHEM
OH
05
0182369
OH
01
294505000
MAGELLAN
OH
01
620003454
RAILROAD MEDICARE
OH
Enumeration date
10/04/2006
Last updated
12/06/2016
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