Healthcare Provider Details

I. General information

NPI: 1790925998
Provider Name (Legal Business Name): DR. KIMBERLY A FINCH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 02/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 HAMLINE AVE N SUITE 217
SAINT PAUL MN
55113-5009
US

IV. Provider business mailing address

2233 HAMLINE AVE N SUITE 217
SAINT PAUL MN
55113-5009
US

V. Phone/Fax

Practice location:
  • Phone: 651-636-0099
  • Fax: 651-636-1075
Mailing address:
  • Phone: 651-636-0099
  • Fax: 651-636-1075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMN 4500
License Number StateMN

VIII. Authorized Official

Name: DR. KIMBERLY A FINCH
Title or Position: CLINICAL PSYCHOLOGIST/OWNER
Credential: PSYD, LP
Phone: 651-636-0099