Provider Demographics
NPI:1427266741
Name:FINNERTY, TODD ELLIOTT (PSYD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:ELLIOTT
Last Name:FINNERTY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E CAMPUS VIEW BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4647
Mailing Address - Country:US
Mailing Address - Phone:330-495-8809
Mailing Address - Fax:855-647-9617
Practice Address - Street 1:100 E CAMPUS VIEW BLVD
Practice Address - Street 2:SUITE #250
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4647
Practice Address - Country:US
Practice Address - Phone:330-495-8809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5979103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical