Healthcare Provider Details

I. General information

NPI: 1760544381
Provider Name (Legal Business Name): STEPHEN N FINZO JR. PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N OAKLAND AVE
BOLIVAR MO
65613-3042
US

IV. Provider business mailing address

1430 WILKINS CIR
CASPER WY
82601-1336
US

V. Phone/Fax

Practice location:
  • Phone: 417-326-7676
  • Fax: 417-326-3939
Mailing address:
  • Phone: 307-237-9583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2001025456
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2012041096
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number555
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: