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General NPI Number Information
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NPI Number | 1760544381
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Entity Type | Individual
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Provider Name | STEPHEN N FINZO JR. PSYD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1300 N OAKLAND AVE
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City | BOLIVAR
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State | MO
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Zip | 65613-3042
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Country | US
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Telephone | 417-326-7676
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Fax | 417-326-3939
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Provider Business Mailing Address
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Address Line | 1430 WILKINS CIR
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City | CASPER
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State | WY
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Zip | 82601-1336
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Country | US
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Telephone | 307-237-9583
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 555
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2001025456
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2012041096
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License Number State | MO
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