Healthcare Provider Details

I. General information

NPI: 1578111860
Provider Name (Legal Business Name): JULIAN FINNEGAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 MERROW RD STE E
TOLLAND CT
06084-3974
US

IV. Provider business mailing address

11 PERIWINKLE LN
GLASTONBURY CT
06033-5202
US

V. Phone/Fax

Practice location:
  • Phone: 860-454-0667
  • Fax:
Mailing address:
  • Phone: 860-281-7885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: