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NPI Code Detail

MEDICARE: MRS. AMY JO FINN LMFT

MEDICARE: MRS. AMY JO FINN LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist1205MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801876438
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY JO FINN LMFT
Provider Business Mailing Address
First Line : 1875 NORTHWESTERN AVE S
Second Line :
City : STILLWATER
State : MN
Zip : 55082-7534
Country : US
Telephone Number : 651-439-4840
Fax Number : 651-439-4894
Provider Business Practice Location Address
First Line : 1875 NORTHWESTERN AVE S
Second Line :
City : STILLWATER
State : MN
Zip : 55082-7534
Country : US
Telephone Number : 651-439-4840
Fax Number : 651-439-4894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 06/23/2008

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Directions to “ MRS. AMY JO FINN LMFT” Practice Location

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