Basic Information
| Provider Information | |||||||||
| NPI: | 1154316115 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINNEY | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSYCHOLOGIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O BOX 31309 | ||||||||
| Address2: | SUITE 9518 UNIT 86 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900314805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3234429062 | ||||||||
| FaxNumber: | 6264574125 | ||||||||
| Practice Location | |||||||||
| Address1: | 1301 W 34TH STREET SUITE 500 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900895399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2138216500 | ||||||||
| FaxNumber: | 8084490195 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2005 | ||||||||
| LastUpdateDate: | 03/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 20041623A | IN | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | PSY28595 | CA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.