Provider Demographics
NPI:1588971345
Name:FINKLEY, MICHAEL SAMUEL
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:SAMUEL
Last Name:FINKLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:SAMUEL
Other - Last Name:FINKLEA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:153 NORWELL ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02121-2113
Mailing Address - Country:US
Mailing Address - Phone:617-480-0979
Mailing Address - Fax:
Practice Address - Street 1:153 NORWELL ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02121-2113
Practice Address - Country:US
Practice Address - Phone:617-480-0979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker