MEDICARE: DR. PATRICK MICHAEL FINN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3005-57	WI

General Provider Information

NPI Number	:	1548515125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK MICHAEL FINN PSY.D.

Provider Business Mailing Address
First Line	:	682 INTEGRITY POINT AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-5318
Country	:	US
Telephone Number	:	262-327-2102
Fax Number	:

Provider Business Practice Location Address
First Line	:	682 INTEGRITY POINT AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-5318
Country	:	US
Telephone Number	:	262-327-2102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	12/19/2012

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