Healthcare Provider Details

I. General information

NPI: 1154469716
Provider Name (Legal Business Name): THOMAS FINN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 FINCH AVE
MERIDEN CT
06451-2715
US

IV. Provider business mailing address

271 FINCH AVE
MERIDEN CT
06451-2715
US

V. Phone/Fax

Practice location:
  • Phone: 203-237-8084
  • Fax:
Mailing address:
  • Phone: 203-237-8084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number001151
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number001151
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number001151
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number001151
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: