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NPI Code Detail

MEDICARE: STEPHEN N FINZO JR. PSYD

MEDICARE:   STEPHEN N FINZO JR. PSYD
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
1101Y00000XCounselor2001025456MO
2103T00000XPsychologist2012041096MO
3103TC0700XClinical Psychologist555WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760544381
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN N FINZO JR. PSYD
Provider Business Mailing Address
First Line : 1430 WILKINS CIR
Second Line :
City : CASPER
State : WY
Zip : 82601-1336
Country : US
Telephone Number : 307-237-9583
Fax Number :
Provider Business Practice Location Address
First Line : 1430 WILKINS CIR
Second Line :
City : CASPER
State : WY
Zip : 82601-1336
Country : US
Telephone Number : 307-237-9583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 12/02/2014

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Directions to “ STEPHEN N FINZO JR. PSYD” Practice Location

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