Healthcare Provider Details

I. General information

NPI: 1982937017
Provider Name (Legal Business Name): ANDREW E. FINESTONE LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 ANDOVER ST
PEABODY MA
01960-1521
US

IV. Provider business mailing address

243 ANDOVER ST
PEABODY MA
01960-1521
US

V. Phone/Fax

Practice location:
  • Phone: 978-740-5116
  • Fax: 978-740-5116
Mailing address:
  • Phone: 978-740-5116
  • Fax: 978-740-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1119
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: