Healthcare Provider Details
I. General information
NPI: 1013108489
Provider Name (Legal Business Name): CATHERINE MARIE FINKELDEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/09/2007
Last Update Date: 04/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
59 OLD POST RD H 4
CLINTON CT
06413-1859
US
IV. Provider business mailing address
59 OLD POST RD H 4
CLINTON CT
06413-1859
US
V. Phone/Fax
- Phone: 860-532-0557
- Fax: 860-526-9643
- Phone: 860-532-0557
- Fax: 860-526-9643
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 1984 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: